Current UPHS employees must apply HERE
Transplant Financial Coord
Job ID: 151357
Work Type: FT
Location: Philadelphia, PA, United States
Date Posted: Aug 29, 2022
Work Schedule: 8hr Days
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
- The Transplant Financial Coordinator (TFC) is a designated member of the multidisciplinary transplant team and is responsible for providing financial services to the various solid organ transplant programs. The position is responsible for obtaining medical and financial authorization for transplant patients in the various stages of the transplant process. This begins with meeting and counseling the patient at the transplant evaluation visit. Provides insurance verification, medical benefit analysis with respect to transplantation, including benefits for pharmaceuticals. Assesses patient's financial ability to support all phases of transplant case, including post-transplant immunosuppression therapy and transplant related medical procedures. Serves as a financial resource to the patient, their families and or designees and provides ongoing financial counseling and education as necessary. Provides transplant team assessment of patient's medical insurance and help coordinate care with the insurance carrier to maximize potential benefits.
- Identifies and effectively communicates financial information to transplant team members, patients and their families with emphasis on identifying any potential patient out-of-pocket liability. Establishes relationships with insurance company case managers and medical directors to facilitate insurance approvals.
- Obtains all necessary payor authorizations. Verifies transplant coverage and other medical benefits and acquiring necessary referrals and authorizations for inpatient stays and procedures. Assists with financial clearance of urgent inpatient transfers of critical patients. Monitors insurance coverage for patients throughout the period that they are waiting for a transplant.
- Works with patients, their families and team members when possible to help address insurance coverage gaps via alternative funding options.
- Facilitates resolution of patient billing issues. Serves as a liaison with the professional fee and hospital billing offices to resolve billing questions and issues.
- Obtains and documents detailed patient insurance benefit information for all aspects of the transplant process, including, but not limited to, transplant surgery, outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessary.
- Collaborates with the Managed Care Department to obtain single case agreements, or other arrangements with patient insurance companies, in order facilitate transplant coverage.
- Assists hospital claims department with proper identification of and accounting for global contract cases.
- Participates in a rotating on call schedule with other TFCs to provide urgent inpatient transfer and/or transplant authorization support on weekends if necessary.
Education or Equivalent Experience:
- H.S. Diploma/GED (Required)
- Minimal of 4 years’ experience in a medical setting either hospital based or large physician practice
Experience Hospital and Physician billing and strong medical insurance knowledge
Transplant Financial Coordination or Pre-certification experience preferred
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Current UPHS employees must apply HERE