Transplant Financial Associate

Ann & Robert H. Lurie Children's Hospital of Chicago; Chicago (IL); On-site; USD 29,000 - 45,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Health Savings Account

Flexible Spending Accounts

Paid Time Off and Holidays

Retirement plan with 403(b) match

Job summary

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a transplant financial coordinator to verify patient insurance coverage for transplant evaluations and procedures, secure precertifications, and provide financial counseling to patients and families.

The role includes building financial profiles and presenting them at evaluation meetings. The position requires knowledge of insurance regulations, strong organizational and interpersonal skills, and at least 2 years in transplant

Qualifications

• Bachelor’s degree preferred; high school diploma or GED required.
• Minimum of 2 years of transplant coordination or related experience.
• Knowledge of insurance regulations and medical terminology; strong communication skills.

Responsibilities

• Researches and verifies insurance coverage and limitations for transplant referrals and evaluations.
• Submit and secure required insurance precertification authorizations for transplant episodes.
• Writes or obtains from physician a letter of medical necessity and tracks response with required documentation.
• Provides financial counseling on insurance coverage options to potential transplant candidates and patients.
• Develops and coordinates financial profile for patients with inadequate or no insurance; presents at meetings.

Skills

Interpersonal communication

Organizational skills

Diversity and teamwork

Insurance regulations knowledge

Education

Bachelor's degree preferred

High School diploma or GED required

Job description

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Day (United States of America)

Location

Ann & Robert H. Lurie Children's Hospital of Chicago

Job Description

• Researches and verifies insurance coverage and limitations for all patients referred for transplant evaluation and transplantation, including determination of available insurance coverage for unrelated bone marrow donor search.
• Submit and secure required insurance precertification authorizations for transplant episode (evaluation, waitlist, transplant and post-care). Complete monthly insurance verification on all UNOS listed patients.
• Writes or obtains from physician a “letter of medical necessity” and associated documents, send to provider and follow-up on response by providing necessary documentation of coverage and communication of status to the clinical coordinator responsible for care.
• Provides financial counseling on choices of insurance coverage, including COBRA, Social Security Disability, Illinois Medicaid, and new employee coverage to all potential transplant candidates and all established transplant patients.
• Develops and coordinates financial profile for all patients with inadequate or no insurance. This profile will include the patient’s responsibilities including any deposits or actions required by the candidate, such as pre-authorization or pre-certifications. The transplant financial coordinator with present the financial profile at evaluation meetings and other pertinent meetings with hospital administration.
• Determines insurance coverage for immunosuppressive medications and other transplant related discharge medications and arrange pharmacy charge account for each patient with insurance coverage for medications.
• Schedule / coordinate multidisciplinary transplant evaluations. Gather external patient records, enter external labs results in EPIC.
• Generates appropriate statistical reports at the request of the transplant administrator (such as fiscal year/calendar year volumes and the transplant dashboard) on the transplant program when needed and maintains a list of transplant candidates, their financial status, transplant stage and pre-certification status.
• Maintains an awareness of the transplant contracts held by the hospital and their terms/conditions and implications. Completes Medicare enrollment forms for Kidney Transplant recipients.
• Demonstrates behavior consistent with providing an open, professional and congenial work environment. The transplant financial coordinator supports the goals of the transplant center and hospital, acts with initiative to problem solve and assumes responsibility for personal performance.
• Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.

Knowledge, Skills And Abilities

• High School diploma or GED equivalent required. Bachelor’s degree preferred.
• Minimum of 2 years of experience in transplant coordination, utilization review, financial counseling or insurance reimbursement strongly preferred.
• Must possess knowledge of insurance regulations, health care issues, medical terminology and have excellent organizational and interpersonal communication.
• Must be able to interact effectively with various levels of hospital staff, management and physicians.
• Exhibit tactful, compassionate and responsible interpersonal skills toward patients, their families and providers throughout the financial screening and evaluation process.

Education

Bachelor's Degree

Pay Range

$21.00-$32.55 Hourly

At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs.

Benefits

• Medical, dental and vision insurance
• Employer paid group term life and disability
• Employer contribution toward Health Savings Account
• Flexible Spending Accounts
• Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
• 403(b) with a 5% employer match

Various Voluntary Benefits

• Supplemental Life, AD&D and Disability
• Critical Illness, Accident and Hospital Indemnity coverage
• Tuition assistance
• Student loan servicing and support
• Adoption benefits
• Backup Childcare and Eldercare
• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
• Discount on services at Lurie Children’s facilities
• Discount purchasing program

There’s a Place for You with Us

At Ann & Robert H. Lurie’s Children Hospital of Chicago and its affiliates (collectively “Lurie Children’s”), we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints — recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children’s and its affiliates are equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

For questions about how to request an accommodation please contact: [e-mail]

AI Notice

Lurie Children’s utilizes certain AI-enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements. All employment decisions are made by individuals.

It is a civil rights violation with respect to recruitment, hiring, promotion, or employment for an employer to use artificial intelligence that has the effect of subjecting employees to discrimination on the basis of protected classes under the Illinois Human Rights Act or to use zip codes as a proxy for protected classes.

For questions about the use of artificial intelligence in this process or any additional support, please contact: [e-mail]