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Transplant Financial Coordinator, Cardiac Recovery Room

2 months ago

New York, New York, United States RWJBarnabas Health Full time

Transplant Financial Coordinator, Cardiac Recovery Room
Req #:
Category: Clerical / Administrative Support
Status: Full-Time
Shift: Day
Facility: Newark Beth Israel Medical Center
Department: Cardiac Recovery Room

Location:

Newark Beth Israel Medical Ctr,
201 LYONS AVENUE, NEWARK, NJ

Job Overview:

The Transplant Financial Coordinator is responsible for providing accurate and timely financial clearance for patients seeking advanced therapies for heart failure, transplant and VAD services. The TFC works with patients and their families from evaluation through post- transplantation in a compassionate and tactful manner in order to help facilitate access to and provide continuity of care.

Qualifications:

Required:

  • High school diploma or G.E.D. equivalent
  • General knowledge base of billing requirements and rules
  • Comprehensive knowledge of insurance coverage generally obtained through three (3) or more years of relevant experience, preferably in a hospital setting
  • Extensive knowledge of various insurance coverage, COB rules of priority and processing procedures
  • Organizational and time management skills required in order to maintain and prioritize daily work, weekly reports and to follow-up on accounts in a timely manner
  • Ability to work in self-directed environments
  • Must have a good grasp of medical terminology
  • Excellent communication and customer service skills required

Preferred:

  • Associates degree is preferred
  • Understanding of Medicare and Medicaid regulations and rules with a background in coordination of benefits, preferred

Scheduling Requirements:

  • Shift- 8:30am 4:30pm
  • Monday- Friday
  • Full Time

Essential Functions:

  • Obtains and verifies, detailed patient insurance benefit information, including but not limited to, outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessary
  • Discusses insurance issues and completes a financial review with patients and family members during the initial evaluation
  • Serves as a resource for patients and family members on financial matters throughout the transplant/donation process
  • Works with insurers to verify coverage and obtain payor authorizations for transplant related services
  • Maintains a working knowledge of all policies, procedures and criteria for all contracted managed care organizations
  • Completes and submits all Requests for Information (RFI) from insurance carriers and/or managed care companies
  • In collaboration with Organ Transplant Social Worker, develops a plan to address patient insurance coverage gaps via alternative funding options.
  • Manages the process of recipient insurance data and authorization to communicate relative information to the Transplant Team members as appropriate throughout the transplant/donation process and during Selection Committee

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

  • Paid Time Off (PTO)
  • Medical and Prescription Drug Insurance
  • Dental and Vision Insurance
  • Retirement Plans
  • Short & Long Term Disability
  • Life & Accidental Death Insurance
  • Tuition Reimbursement
  • Health Care/Dependent Care Flexible Spending Accounts
  • Wellness Programs
  • Voluntary Benefits (e.g., Pet Insurance)
  • Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more

Choosing RWJBarnabas Health

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer