Transplant Finance & Authorization Specialist

CareerArc; Washington (District of Columbia); On-site; USD 60,000 - 102,000; Full time

Job summary

MedStar Georgetown University Hospital is seeking a detail-oriented Transplant Financial Coordinator to evaluate insurance coverage and assist in pre-authorization for Bone Marrow/Stem Cell Transplant services. You will help patients obtain resources, coordinating with payors and hospital departments to secure approvals and payments.

The role requires 3-4 years of billing/claims experience, strong communication, and the ability to work in a high-stress environment, supporting cost containment

Qualifications

• Associate's degree required or Bachelor's degree preferred.
• 3-4 years work experience in patient billing and/or insurance claim verification.
• 1-2 years experience with claims processing/reimbursement utilization review or case management preferred.
• Certified Transplant Financial Coordinator preferred; obtain within one year of hire.

Responsibilities

• Coordinate pre-authorization for transplant services and maximize reimbursement.
• Verify insurance benefits and determine deductibles and co-pays.
• Explain financial options and prepare individualized financial packets for candidates.
• Liaise with departments to ensure required approvals are obtained.
• Support scheduling and MR/EHR data integrity and timely documentation.

Skills

Interpersonal skills

Communication skills

Customer relations

Organization

Teamwork

Problem-solving

Education

Associate's degree

Bachelor's degree in Health Services Administration or Finance

Job description

MedStar Georgetown University Hospital is seeking a detail-oriented Transplant Financial Coordinator to evaluate insurance coverage and assist in pre-authorization for Bone Marrow/Stem Cell Transplant services. You will help patients obtain resources, coordinating with payors and hospital departments to secure approvals and payments.

The role requires 3-4 years of billing/claims experience, strong communication, and the ability to work in a high-stress environment, supporting cost containment