Transplant Financial Coordinator - Days

It's more than a career, it's a calling.

MO-SSM Health Cardinal Glennon Children's Hospital

Worker Type:

Regular

Job Highlights:

This is a full-time, day-shift position with flexible shift start and end times between 7am-5pm (8-hour shifts). Primary duties include insurance pre-authorizations for procedures, treatments, etc. Position is non-patient facing, mostly on the phone with patients, providers and insurance companies. Must have excellent customer service skills and phone etiquette. Preferred candidates will be good at relationship building with providers, have experience with medical terminology, and billing/insurance.

Job Summary:

Responsible for monitoring and verifying financial information to assure coverage for transplant. Keeps team informed regarding patients’ insurance coverage and necessary follow-up needed to verify and/or extend coverage. Performs duties in accordance with the Department’s Policies and Procedures and Service Standards.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Responsible for management, validation, and communication of all insurance aspects.
• Responsible for clinical Evaluation correspondence with payers.
• Coordinates insurance and billing payments and resolves financial issues with the Patient Billing Services, Professional Billing entities, and other applicable business units.
• Serves as primary customer service contact for all billing, registration, and insurance issues.
• Completes WQ activities to insure accountability needed for the Medicare Cost Report (MCR).
• Is required to attend various meetings with the physicians, administration, and staff to relay insurance information and to obtain any necessary information on potential patients coming into our system.
• Maintain knowledge of all acceptable local plans and specialty payers inclusive of transplant language.
• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

EXPERIENCE

• One year experience

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• None

Department:

4073000010 Transplantation Srv

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid