As a member of the transplant team, the Transplant Financial Case Coordinator manages and/or coordinates all financial issues with patients, insurers, referring and attending physicians, nurse coordinators, social workers and other stakeholders.
Insurance verification and analysis
Obtaining certifications and authorizations for inpatient admissions
Providing financial counseling and support for patients as needed, including resolution of payer issues
Research funding sources for patients and negotiate financial agreements
Secure services associated with transplantation, such as research studies
Work with international and self-pay patients to secure coverage and/or collect funding for transplant related services
Coordinate with multiple providers of service, including but not limited to physicians groups, pharmacy, home care, and home infusion
Have a general understanding of the billing process
The scope of the role includes assessment of the patients insurance coverage, facilitation of financial approval process, documentation of financial information and related communication, problem solving, patient billing issues, and coordination of financial information flow among payor, patients, and team members.
BA/BS degree plus 2-3 years of experience (or equivalent combination of education and experience).
Two or more years of experiencein healthcare or insurance organizations related to admitting, billing, claims processing, financial counseling, collections, contracting.
Strong knowledge of computer systems.
Knowledge of EPIC System and/or Transplant Services experience preferred
Knowledge of PASS System; knowledge of transplant services
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.