Transplant Finance Navigator

Memorial Hermann; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Memorial Hermann in Houston, TX seeks a Transplant Financial Coordinator to manage insurance and revenue-cycle tasks for transplant services, including post-transplant care. You will verify benefits, obtain authorizations, and collaborate with the transplant team to maximize reimbursement.

The role requires 3+ years in insurance or revenue cycle, knowledge of CPT/ICD coding, and experience with hospital billing systems.

Qualifications

• Education: High school diploma required; college degree and/or TFC certification preferred.
• Licenses/Certifications: TFC certification preferred.
• Three (3) years related experience in insurance, revenue cycle or transplant required or equivalent.

Responsibilities

• Obtain and verify detailed patient and/or donor insurance benefit information for transplant processes.
• Obtain insurance authorizations for transplant-related services and update clinical team on status.
• Collaborate with transplant team to address coverage gaps and maximize reimbursement.
• Coordinate financial processes with Contract Management, Payer Relations, Patient Accounts and Physician Billing.
• Monitor and update patient insurance data in hospital information systems.

Skills

Microsoft Office

Insurance/revenue cycle knowledge

CPT/ICD coding knowledge

Interpersonal communication

Ability to work under pressure

Education

High school diploma

College degree

TFC certification

Tools

EMR/Hospital systems

Job description

Memorial Hermann in Houston, TX seeks a Transplant Financial Coordinator to manage insurance and revenue-cycle tasks for transplant services, including post-transplant care. You will verify benefits, obtain authorizations, and collaborate with the transplant team to maximize reimbursement.

The role requires 3+ years in insurance or revenue cycle, knowledge of CPT/ICD coding, and experience with hospital billing systems.