TRANSPLANT FINANCIAL COORDINATOR in San Diego, CA at Scripps Green Hospital

Date Posted: 8/9/2018

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
Join a winning team supporting Scripps Health as a Financial Coordinator in our Transplant and Organ Acquisition department. Together, you’ll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast paced environment and enjoys providing world class customer service.
The Transplant Financial Coordinator is part of a multidisciplinary team charged with the responsibility of providing accurate and professional financial clearance to patients seeking Transplant Services. The TFC's are responsible for the analysis, validation and regulatory and compliance activities associated with the financial risk to Scripps Health by performing an accurate financial clearance review along with a comprehensive analysis of patient and payor specific benefits and patient liability.
Coordination and communication with the patient, clinical teams including physicians, nurses, social workers and pharmacists is key for the successful financial analysis and clearance. The TFC acts as an advocate on behalf of patient and family to investigate with payor and meet with patients to educate on transplant benefits and personal responsibilities for both solid organ and bone marrow transplant programs before and after transplantation.
This is a Full Time position located at our Green Hospital in the Torrey Pines area.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Three-year minimum in business, hospital, medical accounting, third party billing and public contract.
  • Extensive knowledge and comprehension of multiple insurance standards and regulations.
  • Knowledge of self-funded payor plans and requirements and managed care requirements.
  • Excellent analytical skills required to determine COB requirements/discrepancies, able to determine insurance priority based on episode of care.
  • Determine eligibility compliance standards based on predetermined regulations.
  • Knowledge of billing documentation requirements Verbal and written communication skills required in order to effectively obtain required information from patients, insurance companies, physicians, patient advocates and internal and external agencies.
  • Ability to train new insurance specialists' staff in established policies and procedures of the verifications process.
  • Demonstrate advanced team-oriented capabilities, along with a willingness to assist fellow employees within the department and the organ and bone marrow divisions.
  • Must also be able to work independently and demonstrate a strong imitative in order to achieve the highest possible level of customer service and satisfaction. Must meet and/or exceed department levels and standards.
Preferred Education/Experience/Specialized Skills/Certification:
  • Associate degree in business or healthcare field with coursework in accounting, business, computers or health care administration.
  • Bachelor's degree preferred.
  • Manage Care experience preferred.
  • Prefer a minimum of one year as a Financial Coordinator for Transplant Services
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, the only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.