Responsibilities

• Interview transplant candidates to assess insurance coverage and eligibility for financial assistance programs
• Verify insurance benefits, process authorizations, and resolve coverage barriers including identifying alternative financial aid or charity programs
• Schedule inpatient and outpatient admissions; register patients and create hospital accounts for procedures and diagnostic tests
• Educate patients on insurance coverage, billing requirements, and self-pay responsibilities
• Maintain and update transplant database with authorization numbers, patient financials, and key billing information
• Develop and maintain financial reference guides including payer-specific policies, reimbursement guidelines, and state/federal regulations
• Communicate coverage issues to transplant clinical staff and collaborate to resolve
• Participate in transplant team meetings to present payer requirements and financial concerns
• Develop letters of medical necessity and respond to third-party payer requests for additional information
• Perform charge entry for national donor programs and ensure accurate billing across all transplant phases
• Complete billing attachments for managed care global contracts
• Maintain communication with Managed Care/Contracting to identify and process contract patients
• Develop and maintain workload volume reports as requested
• Serve as a resource for departments within and outside the Cancer Center or Transplant Center
• Cross cover for vacancies and assume additional workload as needed
• Performs other duties as assigned

Education & Experience

• High School Diploma or GED required
• Minimum 3 years of financial counseling experience in a hospital or healthcare setting

Knowledge, Skills & Abilities

• Knowledge of insurance verification and hospital registration systems
• EPIC experience preferred
• Strong written and verbal communication skills
• Proficient in word processing, database software, and basic computer operation
• Ability to serve diverse patient populations with understanding of growth and development across the lifespan