Sr. Insurance Coordinator - Transplant

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
This position works under general supervision to ensure that patients are authorized for services related to their medical condition and that this information is disseminated to appropriate parties within UTSW. Responsible for the verification of insurance benefits and required authorizations. Conducts patient notification and education of their potential financial responsibility as it relates to proposed services. 

 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

Work Schedule: Monday-Friday, flexible start times. Will discuss more in the interview. 

Candidate must reside in the Dallas/Fort Worth metroplex

EXPERIENCE AND EDUCATION

Required

• Education
  Bachelor's Degree in related field. 
   

• Experience
  May consider additional years of experience in lieu of education 
   

Preferred

• Experience
  2 years insurance coordination experience in hospital environment preferred; preferably in treatment specific area 
   

JOB DUTIES

• Verifies patient insurance benefits including transplant-specific benefits by utilizing insurance websites or calling insurance companies. Re-verifies active coverage of waitlisted patients per departmental protocols to ensure patient readiness for transplantation and limit financial exposure of the institution.
• Documents pertinent activities in Epic Phoenix to drive transplant patient throughput. Keeps detailed documentation of calls and activities on all transplant patients for recordkeeping and continuity in cross-coverage situations.
• Coordinates approval process for patients to ensure that UT Southwestern Medical Center referral, medical review and billing policies and procedures are followed.
• Coordinates ongoing pre-certification and approval process with insurance case managers and provides clinical updates as requested.
• Protects the privacy and security of patient health information to ensure that confidentiality is maintained.
• Provides transplant patient education regarding financial aspects of services rendered. Coordinate with clinical financial counselor to assist patients with financial aspects of services rendered.
• Advises physicians and other medical staff regarding insurance benefit and financial clearance status of patients.
• Meets with patients and