Transplant Financial Coordinator

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

Job Summary and Responsibilities

As our Transplant Financial Coordinator, you will maximize reimbursement for transplant services.

Every day you will manage payer referrals and authorizations, provide patient financial counseling, handle patient registration, and complete reimbursement analysis.

To be successful in this role, you will bring transplant financial counseling and reimbursement expertise.

• Maximizes reimbursement for transplant services for kidney recipients and live donors through payor referral / authorization management. Maintains current payer profile and/or authorization for all patients listed for transplant.
• Analyzes reimbursements to ensure that maximum payments were received from the right payer for transplant services rendered, and to ensure compliance with the Federal Register’s rules and regulations for organ acquisition.
• Ensures accurate billing processes through pre-registration of kidney recipients and live donors.
• Reviews purchased services invoices for appropriateness; approves for payment and documents according to department policy and procedure.
• Provides financial counseling to kidney recipients and live donors.
• Provides staff support, training and education; completes miscellaneous tasks, special projects.

Job Requirements

Required

• High School Graduate General Studies, upon hire or
• High School GED General Studies, upon hire and
• 4-6 years 5 years experience in outpatient group medical practice and/or inpatient acute care setting, with progressively increasing scope of administrative experience and responsibilities, including patient intake, medical terminology, CPT & ICD coding, third party payer referrals and authorizations, third party payer billing and reimbursement, and managed care experience., upon hire and
• None, upon hire

Preferred

• Bachelors Other, upon hire and
• Transplant administrative experience., upon hire

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.