Solid Organ Transplant Financial Coordinator (53835)

Stanford Health Care

Palo Alto,CA  

2020-01-20 2020-02-19
facilities accounting administration hospital

For over 160 years, Stanford Health Care has been advancing medicine together as fearless leaders and unstoppable patient advocates. Consistently ranked among the nation’s best hospitals, we are a team of pioneers, bringing groundbreaking medical research and patient care to the communities we serve every day.

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**Solid Organ Transplant Financial Coordinator (53835)**

+ Job Type:Full Time

+ FTE/Bi-Weekly Hours:1.0/80

+ Shift:Days

+ Hours in Shift:8

+ Location:Palo Alto, CA

+ Req:53835

**Job Description**

The Solid Organ Transplant Financial Coordinator is a designated member of the transplant team and is assigned primary responsibility for coordinating financial aspects of patient's transplant-related care. The Coordinator works with patients and their families, beginning with the evaluation for transplantation, continuing through and after transplantation, in a compassionate and tactful manner to help facilitate access to and provide continuity of care. The Coordinator also works with other members of the transplant team, insurers and administrative personnel at the Transplant Center.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).

· Calculating and making deposit arrangements for funds for any and all services not covered by patient insurance.

· Obtaining detailed patient insurance benefit information for all aspects of the transplant process, including, but not limited to, outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessary.

· Discussing benefits and other transplant financial issues with patients and/or family members during initial evaluation.

· Advising patients on insurance and billing issues and options. Serving as a resource for patients and their family members on financial matters.

· Obtaining all necessary payer authorizations. Verifying transplant coverage and other medical benefits. Also, acquiring necessary referrals and authorizations. Facilitating Letter of Agreements with contracting when required.

· Monitoring and updating information regarding insurance data, physicians, authorizations, and preferred providers. Assisting patients with questions concerning insurance and other financial issues.

· Identifying and effectively communicating financial information to transplant team members, patients and their families with emphasis on identifying any potential patient out-of-pocket liability.

· Working with patients, their families and team members when possible to address insurance coverage gaps via alternative funding options.

· Facilitating resolution of patient billing issues.

· Has an understanding of federal and state guidelines related to organ transplantation.

· Has an understanding of Medicare Cost Reporting as related to organ transplantation.

· Has an understanding of CMS Conditions of Participation as related to organ transplantation.

· Works closely with inter-related departments to ensure, completion of and assistance with, the eligibility process meets the patient's financial and social needs.

· Ensures departmental functions are coordinated with internal and external departments, physician services, and other agencies, to ensure patient needs are met.

· Maintains professional relationships with insurance carrier's utilization's review managers in

order to complete authorizations in a timely manner.

· Ensures that insurance coverage is available for aftercare and is evaluated and documented.

· Performs other duties as assigned by manager.

· Coordinates these policies and procedures with those of Patient Financial Services.

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

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Minimum Qualifications

Education: Bachelors degree preferred.

Experience: Three (3) years of progressively responsible and directly related work experience in the health care field.

Transplant Financial Coordinator Certification preferred.

Knowledge, Skills, and Abilities

Ability to communicate effectively both orally and in writing

Ability to maintain confidentiality with sensitive information

Ability to plan, organize, prioritize, multi-task, and meet deadlines

Ability to work effectively with individuals at all levels of the organization

Knowledge of basic mathematics

Knowledge of computer applications related to patient accounts processing

Knowledge of medical terminology

Knowledge of principles and practices of customer service and telephone courtesy

Knowledge of Windows-based office software, computers and operating systems

SHC does not discriminate on the basis of Ancestry, Age, Color, Disability, Genetic information, Gender, gender identity, or gender expression, Marital status, Medical condition, Military or veteran status, National origin, Race, Religion, Sex, and Sexual orientation.
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