Transplant Financial Associate

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Essential Job Functions:

• Researches and verifies insurance coverage and limitations for all patients referred for transplant evaluation and transplantation including determination of available insurance coverage for unrelated bone marrow donor search.
• Submit and secure required insurance precertification authorizations for transplant episode (evaluation waitlist transplant and post-care). Complete monthly insurance verification on all UNOS listed patients.
• Writes or obtains from physician a letter of medical necessity and associated documents send to provider and follow-up on response by providing necessary documentation of coverage and communication of status to the clinical coordinator responsible for care.
• Provides financial counseling on choices of insurance coverage including COBRA Social Security Disability Illinois Medicaid and new employee coverage to all potential transplant candidates and all established transplant patients.
• Develops and coordinates financial profile for all patients with inadequate or no insurance. This profile will include the patients responsibilities including any deposits or actions required by the candidate such as pre-authorization or pre-certifications. The transplant financial coordinator with present the financial profile at evaluation meetings and other pertinent meetings with hospital administration.
• Determines insurance coverage for immunosuppressive medications and other transplant related discharge medications and arrange pharmacy charge account for each patient with insurance coverage for medications.
• Schedule / coordinate multidisciplinary transplant evaluations. Gather external patient records enter external labs results in EPIC.
• Generates appropriate statistical reports at the request of the transplant administrator (such as fiscal year/calendar year volumes and the transplant dashboard) on the transplant program when needed and maintains a list of transplant candidates their financial status transplant stage and pre-certification status.
• Maintains an awareness of the transplant contracts held by the hospital and their terms/conditions and implications. Completes Medicare enrollment forms for Kidney Transplant recipients.
• Demonstrates behavior consistent with providing an open professional and congenial work environment. The transplant financial coordinator supports the goals of the transplant center and hospital acts with initiative to problem solve and assumes responsibility for personal performance.
• Performs job functions adhering to service principles with customer service focus of innovation service excellence and teamwork to provide the highest quality care and service to our patients families co-workers and others.

Knowledge Skills and Abilities:

• High School diploma or GED equivalent required. Bachelors degree preferred.
• Minimum of 2 years of experience in transplant coordination utilization review financial counseling or insurance reimbursement strongly preferred.
• Must possess knowledge of insurance regulations health care issues medical terminology and have excellent organizational and interpersonal communication.
• Must be able to interact effectively with various levels of hospital staff management and physicians.
• Exhibit tactful compassionate and responsible interpersonal skills toward patients their families and providers throughout the financial screening and evaluation process.

Education

Pay Range

At Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO) Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life AD&D and Disability

• Critical Illness Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Childrens facilities

• Discount purchasing program

Theres a Place for You with Us

At Lurie Childrens we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds skills and viewpoints recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging and allyship. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.

Lurie Childrens and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.

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