Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

GENERAL PURPOSE OF JOB:

To ensure the effective financial reimbursement of DCH transplant/dialysis program and dispense quality service to patient/family by providing comprehensive and ongoing financial counseling. This position interacts with various levels of hospital and transplant services physicians, clinical coordinator, managed care staff, social work, patient account services, outside consumers/providers and other related personnel, via telephone and in person to accomplish the
responsibilities of the position.
 

ESSENTIAL DUTIES AND RESPONSIBILITIES:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the
immediate supervisor and/or hospital administration as required.

• • Responsible for Transplant minutes.
• • Responsible for the workup scheduling.
• • Serves as a financial resource to self-pay transplant candidates; discusses financial alternatives; explores funding arrangements. Research, coordinates and shares information about self-pay funding options and programs, prescription drug coverage, transplant-related discharge medications, and spend down insurance plans with transplant social workers and other team members, as needed.
• • Keeps current on all DCH managed care contracts related to transplant and other services, as well as federal and state guidelines related to organ transplantation.
• • Maintain communication between medical staff, and department heads by attending meetings and coordinating interdepartmental functioning.
• Participates in transplant candidate and live donor orientation sessions and acts as a resource to the transplant candidate, family and live donor on billing problems.
  • Research and verification of insurance coverage and limitations (including determination of available insurance coverage for unrelated services, financial screening and counseling.
  • Coordination of resources when inadequate or no insurance is available’ this includes the performance of financial asset analysis.
  • Presentation of financial profile and evaluation meetings.
  • Other pertinent meetings with hospital administration.
  • Providing a requirement list to approved candidates of expected deposits, insurance pre-authorization/certification, and any financial documentation.
  • Enter Dialysis Charges to include Inpatient, Outpatient and TPE
  • Determine insurance coverage for immunosuppressive medications and other transplant related discharge medications. Arrange pharmacy charge accounts for each patient with insurance coverage for medications.
  • Provide financial counseling on choices of insurance coverage, including COBRA, Social Security Disability, Texas Medicaid, and new employee coverage to all potential transplant candidates and all established transplant patients.
  • Responsible for placing the standard acquisition charge on the patient account.
  • Initiate pre-certification of inpatient and outpatient services for all transplant patients, both p