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Transplant Financial Revenue Coordinator - Temple, TX

Company: Baylor Scott & White Health
Location: Temple
Posted on: January 9, 2022

Job Description:

-The Transplant Financial Review Coordinator obtains medical records as requested by patient's insurance company. - Meets with patients and their families to discuss financial obligation, or non-covered expenditures. - Verifies transplant coverage and other medical benefits. - Determines the approval/denial of transplant evaluation before authorization. - The essential functions of the role include:

  • Assures insurance companies review of patient cases in a timely manner.
  • Notifies Transplant Physicians, Coordinators and Billing entities of patient's approval/denial status.
  • Coordinates the referral and billing process for contract cases by identifying patients and ensuring contract procedures are followed. - Ensures billing information for contract patients is communicated to the appropriate departments.
  • Coordinates the request made by Insurance Representatives for discounts in return for prompt payment and audit of charges.
  • Negotiates specialty agreements (Memorandums of Understanding) on specific transplant candidates for payment from companies according to Managed Care guidelines.
  • Acts as supervisor of the Transplant Financial Review Office in the absence of the Manager. - Responds to emergency calls when necessary.The ideal candidate for the Transplant Financial Review Coordinator role has experience working with insurance companies, transplant patients and transplant centers and is adept at financial case management and 3rd party billing. The ideal candidate will have excellent interpersonal, communication and organizational skills. Experience in medical terminology, insurance, contracts and pre-certification is a plus. -Location/Facility - -Baylor Scott & White Medical Center Temple -Specialty/Department/Practice -Trasplant Services -Shift/Schedule - Days, 40 hours a week/ Full TimeBenefits - Our competitive benefits package includes*:
    • Immediate eligibility for health and welfare benefits
    • 401(k) savings plan with dollar-for-dollar match up to 5%
    • Tuition Reimbursement
    • PTO accrual beginning Day 1 -*Note: Benefits may vary based upon position type and/or level. - -QUALIFICATIONS
      • EDUCATION - H.S. Diploma/GED Equivalent
      • EXPERIENCE - A minimum of 8 years experience required

Keywords: Baylor Scott & White Health, Temple , Transplant Financial Revenue Coordinator - Temple, TX, Accounting, Auditing , Temple, Texas

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