Senior Transplant Financial Coordinator

Join UChicago Medicine, as a Senior Transplant Financial Coordinator in our Transplant Department. The Transplant Institute provides exceptional, life-saving care to outpatients and incredible career opportunities for providers and team members. As a Transplant Services Specialist, you will serve as the first point of contact for patients, families, visitors, and staff to coordinate services with the Office of Patient Relations.

As a Senior Transplant Financial Coordinator, you will manage all financial aspects related to Transplant clearance regarding all aspects of abdominal/cardiothoracic/stem cell and bone marrow transplant. Your responsibilities include conducting thorough reviews of insurance benefits, covering transplant services, coverage limits, and maximums. Additionally, you will oversee account maintenance for transplant recipients and living donors in transplant, if applicable. In this role, you will also perform financial and administrative tasks for patients accessing ancillary services related to transplant, such as dental care, pharmacy coverage, travel and lodging benefits, and home and health rehabilitation. You are responsible for monitoring the flow of revenue generated not only by the transplant recipient but also by any donor-related charges associated with that recipient. This position involves extensive utilization of the hospital’s revenue systems and clear communication of the patient’s financial status with the clinical team – including patients, physicians, nurses, insurance companies, donors and other hospital staff – at every phase. You will collaborate with these stakeholders to address and escalate referral, authorization, and coverage issues, especially if any phase of the services needs to be temporarily deferred. In this role, you will collaborate with insurance companies to secure the necessary authorizations for all phases of care and ensure timely payments for Transplant services, with limited supervision. You will also serve as a patient advocate when billing issues arise or when there are changes to their insurance coverage.

This role requires an advanced knowledge of the program and managed care policies, medical terminology, revenue cycle work queue management and the clinical authorization process.

Essential Job Functions

• With minimal supervision, the Sr. Transplant Financial Coordinator conducts the duties assigned to the Transplant Financial Coordinator. This includes, but is not limited to, receiving transplant cases from the clinical team and conducting detailed reviews of insurance eligibility, coverage, and transplant benefits. Pursues insurance approvals by submitting the required medical documentation for each phase, including evaluation, donor search, workup, and post-transplant follow-up. Provides financial counseling to patients via in-person rounding with physician team and meeting with patients to provide Medicaid applications and teaching, as applicable.
• Manages account workqueues to identify and correct potential billing errors, including ensuring accurate transplant plan codes, coverage, and effective term dates
• Coordinates with the clinical team to appeal denied services, resolve charge disputes, billing issues, and patient concerns, including arranging peer-to-peer conferences. Document all aspects of verification, pre-authorization, and communications promptly.
• Assists in training and mentoring staff; Helps develop and maintain training materials and resources
• Provides escalation support for complex cases, including Transplant/IV therapy authorizations

Required Qualifications

• Bachelor’s degree or equivalent with 8 years of experience working in medical insurance verification and/or healthcare finance areas
• Minimum of 10 years related healthcare registration, billing and/or reimbursement experience required
• Advanced understanding of financial clearance in healthcare setting is required
• Proficiency in Microsoft Office and Epic systems
• Advanced insurance authorization and registration techniques required
• Background in medical terminology
• Website Insurance Training (OneSource, Availity, Connex)
• EPIC training & testing (Phoenix for solid organ candidates)
• Ability to register patients rapidly and accurately
• Strong communication skills and must be able to communicate courteously and effectively with physicians, payors, and staff
• Ability to prioritize and work on several projects at once while maintaining communication with all invested parties
• Ability to complete multiple tasks and work under pressure and in stressful situations
• Ability to quickly learn new procedures
• Ability to display compassion and empathy
• Certified Revenue Cycle Representative (CRCR) certification preferred
• Strong coding and billing experience or financial counseling background preferred
• Ability to maintain confidentiality of patient information

 Preferred License or Certifications:

• Certified Revenue Cycle Representative (CRCR) certification preferred
• Certified Transplant Financial Coordinator (CTFC) certification preferred

Position Details

• Job Type/FTE: Full-time (1.0 FTE)
• Shift: Days
• Work Location: Hybrid
• Unit/Department: Transplant Department
• CBA Code: Non-Union 

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits.  The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.