Transplant Financial Coordinator- Hydrid

ochsner; New Orleans (LA); On-site; USD 45,000 - 65,000; Full time

Job summary

Ochsner Health in New Orleans seeks a Financial Clearance Specialist to analyze patient payer benefits and determine patient liability across the transplant continuum. You will coordinate resources, discuss insurance coverage, and guide families through financial options, including assistance programs, before and after transplant.

The role requires strong data entry, excellent communication, and the ability to work with the transplant team, insurers, and hospital staff.

Qualifications

• Must have strong data entry and office software skills.
• Excellent verbal and written communication abilities.
• Proficient with Windows-based applications and MS Office.
• Ability to work in fast-paced, confidential healthcare setting.

Responsibilities

• Serve as liaison to obtain and update detailed insurance benefit information for transplant processes.
• Educate patients on financial responsibilities and assistance options.
• Discuss benefits and transplant financial issues with patients and families.
• Provide Best in Class service to ensure patient satisfaction.
• Participate in Transplant Team meetings and related clinics.

Skills

Data entry

Communication skills

Attention to detail

Team collaboration

Education

High School diploma or equivalent

Bachelor's degree

Tools

Windows

Microsoft Word

Excel

PowerPoint

Job description

Exceptional care starts with exceptional people.

For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.

This job is responsible for performing the financial clearance along with conducting a comprehensive analysis of patient payer specific benefits and patient liability. Responsibilities include, but are not limited to, coordinating and clarifying the available financial resources for patient care; referral, consultation, evaluation, listing transplantation, and continuing after transplantation to ensure continuity of care. Additionally, this job works with other members of the transplant team, insurers, and administrative personnel at the hospital. This job ensures the best patient experience is received through timely and accurate assistance. Must be available to attend On-site Clinic appointments weekly

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

• Required - High School diploma or equivalent
• Preferred - Bachelors' degree

Work Experience

• Required - 3 years' experience in customer service, healthcare, or office experience, including insurance authorization experience
• Preferred - 2 years' experience specific to a healthcare business office providing customer service, Bilingual - Ability to effectively communicate in Spanish preferred

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of required job information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout required job processes.
• Must be proficient with Windows-style applications, keyboard, and various software packages specific to role (i.e. Microsoft Word, Excel, and Powerpoint).
• Strong interpersonal skills with ability to work independently and as part of a team.
• Ability to perform effectively in a fast paced ever changing and stressful environment.
• Ability to remain calm, professional, and maintain strict confidentiality in high pressure/stressful situations regarding patient financial and medical conversations.
• Ability to organize and prioritize to ensure deadlines are met.
• Demonstrated problem solving and follow up skills with the ability to multi-task and be detailed oriented.
• Ability to provide coaching and constructive feedback.
• Ability to work with minimal supervision and makes independent decisions.
• Reliable transportation as may be required to travel to other facilities for training and meetings.
• Ability to work outside of normal working hours (i.e. nights, weekends, holidays).

Job Duties

• Serves as a liaison between the patient, providers, internal and external departments or other responsible person(s) to obtain, monitor, and update detailed insurance benefit information for all phases of the transplant process (including insurance coverage and authorizations, denials and appeals).
• Plans, organizes, and prioritizes work to discuss with patients their insurance coverage in relation to the importance of their financial responsibility. Educates the patients on various available assistance options, as well as explain the financial impact of various alternatives.
• Promptly and courteously discusses benefits and other transplant financial issues with patients or family members via face to face, e-mail, fax, regular mail correspondence, or phone call before, during, and after the transplant process(es).
• Provides Best in Class service to every patient inquiry received to ensure and maintain high levels of patient satisfaction. Must represent the Organization by providing appropriate/applicable levels of competency and professionalism to ensure all patient issues are resolved timely, accurately and efficiently.
• Participates in Transplant Team meetings, Evaluation and Listing Clinics, Patient Review Committee, Hospital Interdisciplinary Rounds, discharge planning, and Quality Assurance and Performance Improvement (QAPI).
• Provides routine support with new hire and on-going staff training/coaching for transplant staff.
• Other job duties as assigned.

The above statements describe the general nature and level of work only. They are not an e