Transplant Financial Specialist

Join UChicago Medicine, as a Financial Transplant Specialist 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 Transplant Financial Specialist, you will be responsible for pre-registration, insurance verification, (in/outpatient), and the pre/post-transplant account maintenance functions of transplant recipients, donors (donating stem cells or bone marrow or solid organs) and donor search screens. In this role, you will perform financial and administrative tasks required on behalf of patients (families) and the Hospitals.

As a Transplant Financial Specialist, you will be responsible for coordinating and monitoring the flow of revenue generated by not only the transplant recipient, but any donor charges associated with that recipient. This position involves extensive utilization of the Hospitals revenue systems and constant interaction with patients, physicians, nurses, insurance companies, donors and other members of the Hospitals' staff. The Transplant Financial Specialist collects and verifies demographic information, insurance coverage and transplant benefits, and referring physician data for transplant candidates and potential donors. This individual also provides financial counseling and information regarding the transplant process at the Hospitals to transplant recipients, donors, and related Hospital staff. In this role, you will work with insurance companies to obtain the necessary authorizations for the transplant to insure proper and timely payments for all related Transplant services, and acts as an advocate to the patient when billing problems occur.

Essential Job Functions

• Handles the complete financial case management of transplant recipient, donor and all transplant related services. This includes management of various account work queues to capture potential errors before billing; ensure that the correct transplant plan code and coverage are applied and that effective term dates are accurate; perform bundled billing as applicable.
• Interview patients by telephone and in-person to collect demographic, financial, insurance, referral physician and medical data. Provide financial counseling as applicable.
• Verify insurance coverage for Transplant services in order to expedite billing and collection. Complete periodic review of benefits to ensure transplant coverage is active throughout the requisite period.
• Answer questions regarding insurance, hospital charges and payments for both Hospitals and UCPG.
• Investigate charge disputes, and if found to be valid prepare documentation to initiate correction.
• Document all aspects of verification, pre-authorization and telephone communications in a timely manner. This includes keeping track of admission and discharge dates to update effective term dates.
• Performs other duties as requested by senior management.

Required Qualifications

• BA degree or equivalent and /or 2 years’ experience in medical insurance verification and other hospital finance areas;
• Requires Windows based PC experience;
• Has extensive personal and telephone contact in greeting, directing and assisting internal and external customers experience.

Preferred Qualifications

• Certified Revenue Cycle Representative (CRCR) certification;
• strong coding and billing experience, or experience with financial counseling;

 Position Details

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

In this role, we anticipate that you will generally work approximately 40 hours per week. We anticipate that you will generally be scheduled to work the day shift and will not be scheduled for on-call shifts. We anticipate you will be scheduled to work 50% at the Hyde Park campus.

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.