Transplant Financial Coordinator

Google Chrome Microsoft Edge Apple Safari Mozilla Firefox Transplant Financial Coordinator Full-timeEmployee Referral Amount: 375Employee Group: NE - Non-Exempt/Non-RepresentedFixed Term Employment Duration: NoneJob Family: LP-Revenue CycleDepartment: Organ Acq BMT SearchRemote Eligible: YesBenefits Eligible: YesScheduled Weekly Hours: 40Work Shift: Day - 08 HourCompany DescriptionAt Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144031-2627Job DescriptionJOB SUMMARYThis paragraph summarizes the general nature, level and purpose of the job.Under the direction of the Transplant Financial Supervisor, the Transplant Financial Coordinator (TFC) is responsible for providing accurate and professional financial clearance to patients seeking Transplant Services at Stanford Children's Health. The TFC is responsible for the analysis, validation, and regulatory and compliance activities associated with the financial clearance process. The TFC mitigates the financial risk to Stanford Children's Health by performing an accurate financial clearance review along with a comprehensive analysis of patient and payer specific benefits and patient liability. Ensures that adequate compensation resources exist and recommends coverage plans that best meet the individuals' needs for evaluation, organ transplantation, and post-operative care. Counsels transplant patients on financial considerations throughout their care experience. Works with a multidisciplinary team consisting of patients, revenue cycle, physicians, nurses, social workers, and pharmacists.ESSENTIAL FUNCTIONSThe essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.* Analyze benefit requirements and initiate the request for authorization/prior approval for the transplant evaluation, admission, clinic visits, donor compatibility, work-up and testing, organ procurement, and follow-up appointments * Analyze benefit requirements and initiate authorization, pre-certifications and /or pre-determinations for treatments * Analyze benefits for appropriate coverage for services. Review contracts and obtain clarification from managed care contracting and payer coordination as needed * Meet with patients and family members at the time of transplant evaluation or prior to treatment; inform patients of the anticipated costs of transplant services, the anticipated patient liability, and the patient responsibilities (e.g. post-transplant medications); assist patients with a financial plan when not adequately funded for transplant (e.g. fundraising) or therapy services * Work with Multidisciplinary team to develop agreements for International, self-funded patients, and...