Financial Counselor

The Transplant Financial Counselor (TFC) is a critical member of the transplant multidisciplinary team and works collaboratively with physicians, nurse coordinators, social workers, practice coordinators and external insurance case managers to ensure that patients are financially eligible and cleared for services throughout the transplant process. The TFC also collaborates with the Contracting Department for non-contracted payors and resolves billing issues for transplant related services with UCSF’s billing representatives. The TFC will manage a large caseload of approximately 1,000 pre-transplant patients which includes counseling and education during the evaluation, waitlist and transplant phases of care. The TFC is a critical role and is required of all transplant programs as stated in the United Network for Organ Sharing (UNOS) bylaws.

The TFC works independently and follows the guidelines as set forth by the transplant department policies and procedures. The TFC provides patient education on insurance rules and regulations, counseling on transplant specific financial expectations, reviewing patient financial responsibility, coordinating the insurance process for patients for evaluation, waitlist testing, living donor workup, Living or Deceased Donor Transplant Surgery, and other specialty referral appointments as necessary. This includes obtaining all needed authorizations for above mentioned services while seeking to maximize the utilization of benefits and coordinate cost-effective care in a managed care environment for each patient.

**Required Qualifications**
- Bachelor's degree in related area or four years of relevant experience.
- Five (5) years of experience with insurance benefits and authorizations.
- Advanced interpersonal skills to develop productive ongoing relationships with payors, outside agencies, and patients. Ability to interact with patients about financial preparedness, insurers, and other parties.

**Preferred Qualifications**
- Thorough knowledge of insurance processes, concepts, systems and external regulations.
- Knowledge of medical terminology, coding, and billing.
- Strong analytical skills, conducting interviews and research, developing and recommending new systems, workflows and procedures.
- Ability to serve as a technical leader, providing expertise and serving as an educational resource to staff and management at all levels.
- Experience working in organ transplantation.
- Transplant Financial Coordinator Certification.

**About UCSF**
- At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve - a promise we share with the professionals who make up our team.
- Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

**Pride Values**
- In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
- Join us to find a rewarding career contributing to improving healthcare worldwide.

**Equal Employment Opportunity**
- The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

**Organization**
- Health

**Job Code and Payroll Title**
- 004542 PAT BILL AND COLL REPR 4

**Job Category**
- Accounting / Finance, Administrative Support, Financial, Support Services

**Bargaining Unit**
- 99 - Policy-Covered (No Bargaining Unit)

**Employee Class**
- Career

**Percentage**
- 100%

**Location**
- Brisbane, CA, Flexible (combination of onsite and remote work), Hybrid, Remote / Telecommute

**Shift**
- Days

**Shift Length**
- 8 Hours

**Additional Shift Details**
- M-F