Financial Coordinator - Transplant

Lehigh Valley Hospital, Inc.; Allentown (Lehigh County); On-site; USD 55,000 - 85,000; Full time

Job summary

Lehigh Valley Health Network's Transplant program seeks a dedicated Transplant Financial Coordinator to manage the financial aspects of patient care from initial evaluation through post‑transplant. You will collaborate with patients, families, clinicians and insurers to determine benefits, obtain pre‑certifications, explain costs and help identify funding options.

The role requires strict confidentiality, regulatory compliance and compassionate guidance to ensure access to care for transplant

Qualifications

• High School Diploma or GED with 2 years experience in transplant or related field.
• Ability to anticipate patient financial needs and communicate them clearly.
• Expert knowledge in determining third-party insurance medical benefits and billing.

Responsibilities

• Perform financial screening of patients for transplantation including out-of-pocket costs and coverage.
• Discuss benefits and transplant financial concerns with patients during evaluation.
• Advise patients on insurance and billing issues; address coverage gaps and funding options.
• Obtain payor authorizations, verify transplant coverage and other medical benefits, and coordinate referrals.
• Stay up-to-date on regulations to maximize financial coverage and complete time studies monthly.
• Monitor insurance data and assist patients with questions concerning financial issues.

Skills

Financial screening

Insurance knowledge

Confidentiality

Communication skills

Education

High School Diploma/GED

Associate’s Degree

Job description

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary

The Transplant Financial Coordinator (FC) is a designated member of the transplant team and will be assigned primary responsibility for coordinating financial aspects of patient's care. The FC will work with patients and their families beginning with the evaluation for transplantation and continuing through and after transplantation, in a compassionate and tactful manner in order to help facilitate access to and provide continuity of care. The FC will also work with other members of the transplant team, insurers and administrative personnel at the Transplant Center.

Job Duties

• Performs financial screening of all patients for transplantation including, but not limited to: outpatient prescription drug coverage (including immunosuppressive medications); follow-up visits; housing/travel if necessary. Identify and effectively communicate financial information to patients and their families with emphasis on identifying potential out of pocket costs.
• Discuss benefits and other transplant financial concerns with patients during transplant evaluation.
• Advise patients on insurance and billing issues and options. Serve as resource for patients/family members. Work with patients, family, team members to help address insurance coverage gaps and assist with finding alternative funding sources.
• Obtain all necessary payor authorizations and pre-certifications, verify transplant coverage and other medical benefits. Acquire necessary referrals and authorizations. Acts as a contact for insurance case managers primarily, but limited to, obtaining pre-certification and authorizations. Collects and submits necessary documentation and correspondence. Performs and communicates related follow-up.
• Keeps up to date on job related regulations to ensure maximum financial coverage for patients and appropriate reimbursements. Adheres to regulations in accordance with job specific governing bodies. Completes time studies monthly.
• Monitor and update information regarding insurance data, physicians, authorizations, and preferred providers. Assist patients with questions concerning insurance and other financial issues.

Minimum Qualifications

• High School Diploma/GED 2 years Experience working in transplant or related field Ability to anticipate and understand customer financial needs; document and/or relay patients needs to appropriate personnel.
• Demonstrates expert knowledge in determining third-party insurance medical benefits and billing requirements.
• Must be able to maintain confidentiality and have an understanding of patient's rights.
• Must understand oncology-specific treatments and related insurance coverage issues, including rules governing medical necessity.
• Must possess the ability to combine compassion with strong professional skills.

Preferred Qualifications

• Associate’s Degree 4 years Experience working in transplant

Physical Demands

• Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer

This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Equal Opportunity Employer

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.