Transplant Finance & Authorization Specialist

CommonSpirit Health; Seattle (WA); Presencial; USD 65 000 - 90 000; Tempo integral

Resumo da oferta

Virginia Mason Franciscan Health is seeking a Transplant Financial Coordinator to maximize reimbursement for transplant services. Responsibilities include managing payer referrals and authorizations, providing patient financial counseling, and ensuring accurate billing and pre-registration for kidney recipients and live donors.

The role requires transplant financial counseling experience, reimbursement expertise, and a thorough understanding of third-party payer processes to ensure compliance

Qualificações

• Requires knowledge of medical terminology and coding (CPT/ICD).
• Experience with payer referrals, authorizations and third-party billing is preferred.
• Strong patient financial counseling and reimbursement analysis skills are needed.

Responsabilidades

• Maximizes transplant reimbursement through payer referrals and authorizations and maintains payer profiles.
• Analyzes reimbursements to ensure maximum payments and regulatory compliance.
• Ensures accurate billing via pre-registration for kidney recipients and donors.
• Reviews purchased services invoices for accuracy and proper documentation.
• Provides financial counseling to kidney recipients and live donors.
• Supports staff, training, and special projects.

Conhecimentos

Medical terminology

CPT & ICD coding

Payer referrals & authorizations

Third-party payer billing

Managed care experience

Patient financial counseling

Formação académica

High School Diploma

High School GED

Descrição da oferta de emprego

Virginia Mason Franciscan Health is seeking a Transplant Financial Coordinator to maximize reimbursement for transplant services. Responsibilities include managing payer referrals and authorizations, providing patient financial counseling, and ensuring accurate billing and pre-registration for kidney recipients and live donors.

The role requires transplant financial counseling experience, reimbursement expertise, and a thorough understanding of third-party payer processes to ensure compliance