Transplant Financial Counselor

CommonSpirit Health; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

Baylor St. Luke’s Medical Center in Texas is seeking a Transplant Financial Counselor to coordinate financial resources for transplant and VAD patients, ensuring financial readiness and continuity of care for patients and families.

Daily duties include working with patients to secure insurance benefits, answer questions, advise on billing issues, and document financial information in the EMR, from evaluation through post-transplant care.

Qualifications

• High school graduate with four years of related transplantation experience.
• High school GED with four years of related transplantation experience.
• None, upon hire.

Responsibilities

• Obtains detailed patient insurance benefit information; medical management and transplant.
• Discusses benefits and other financial issues with patients and/or family members during initial evaluation.
• Advises patients on insurance and billing issues and options; serves as a resource for patients and their families on financial matters.
• Coordinates all necessary payer authorizations including documentation of financial information appropriately in the EMR.
• Monitors and updates information regarding insurance data, physicians, authorizations, and managed care contracting.
• Assists patients and their families with questions concerning insurance and other financial issues.

Skills

Financial counseling

Insurance coordination

Exceptional communication

EMR documentation

Education

High School Diploma

High School GED

Tools

EMR systems

Job description

Job Summary and Responsibilities

As our Transplant Financial Counselor, you will be an essential member of the transplant team, coordinating financial resources for Transplant and/or VAD patients. Your role ensures financial readiness and continuity of care for patients and their families.

Every day you will work with patients/families to coordinate financial resources from evaluation through post-transplant care. You'll answer insurance questions, provide multidisciplinary recommendations on financial candidacy, and adhere to departmental policies for charges and Medicare Cost Report. You will establish financial expectations for patients/guarantors, ensuring accurate information for efficient account processing.

To be successful, you will demonstrate strong financial counseling expertise, exceptional communication, and meticulous attention to detail regarding insurance and cost reporting. A deep understanding of transplant financial requirements, collaborative teamwork, and a compassionate approach to patient support are essential.

• Obtains detailed patient insurance benefit information; medical management and transplant
• Discusses benefits and other financial issues with patients and/or family members during initial evaluation.
• Advises patients on insurance and billing issues and options. Serves as a resource for patients and their family members on financial matters.
• Coordinates all necessary payer authorizations including documentation of financial information appropriately in the EMR
• Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting.
• Assists patients and their families with questions concerning insurance and other financial issues.

Job Requirements

Required

• High School Graduate General Studies and Four years of related experience in Transplantation, upon hire or
• High School GED General Studies and Four years of related experience in Transplantation, upon hire
• None, upon hire

Where You'll Work

Baylor St. Luke’s Medical Center is an 1,045 bed facility located in the Texas medical center. A joint venture with Baylor College of Medicine, Baylor St. Luke’s is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more. The hospital is home to the Dan L Duncan Comprehensive Cancer Center, a nationally-accredited and NCI-designated comprehensive cancer center. Our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients, visitors, staff, and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care, research, and education.