[Hiring] Transplant Financial Coordinator @Mayo Clinic

Role Description

The Enterprise Transplant Financial Coordinator is an advanced level authorization representative with advanced knowledge of all solid organ and BMT pre-transplant and post-transplant processes. The position has a thorough understanding of payer requirements related to referral, precertification, prior authorization and/or financial clearance.

• Courteously and professionally complete financial clearance calls.
• Work with patients to outline financial obligations related to care.
• Provide options for patients to meet financial requirements, including:
• Assessing financial assistance eligibility.
• Determining insurance coverage eligibility.
• Providing estimates.
• Regularly monitor work queues to ensure authorizations are completed timely and escalate potential barriers or delays.
• Answer and resolve inbound Transplant Call Center calls timely and efficiently.
• Interpret insurance coverage eligibility and insurance transplant contracts.
• Submit Letter of Agreement (LOA) and Individual Case Negotiation (ICN) requests to address any in/out of network coverage or self-pay issues.
• Participate or provide information for selection committee meetings with the Transplant Team from a financial aspect.
• Collaborate with the multidisciplinary care team in the development and implementation of protocol and standards of care for transplant patients.
• Monitor and update necessary documentation according to the United Network of Organ Sharing (UNOS) and Centers for Medicare and Medicaid Services (CMS) guidelines.
• Assist with staff training and cross coverage as needed.
• Adhere to quality assurance guidelines and established productivity standards to support the work unit's performance expectations.

Qualifications

• Advanced knowledge of solid organ and BMT pre-transplant and post-transplant processes.
• Thorough understanding of payer requirements related to referral, precertification, prior authorization, and financial clearance.

Requirements

• Experience in financial clearance and patient financial obligations.
• Ability to interpret insurance coverage eligibility and contracts.
• Strong communication skills for handling inbound calls.
• Experience in monitoring work queues and resolving issues.
• Collaboration skills for working with multidisciplinary teams.

Benefits

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.