Job Overview:The Transplant Financial Coordinator works with patients and their families beginning with the evaluation for transplantation and continuing through and after transplantation, in a compassionate and tactful manner, in order to help facilitate access to and provide continuity of care. This position is part of a multidisciplinary team charged with the responsibility of providing accurate and professional financial counseling to patients seeking transplant services.Qualifications:Required:High school plus 4 years or more experience OR Associate College Degree plus 2 years of experience OR College degree with 1 year of experience Experience required in Hospital, Business Office, or Physician's OfficeMust be able to effectively communicate with all levels of the organizationAbility to analyze and update accounts via electronic systemsPreferred:experience in insurance review/verification and billingScheduling Requirements:Day Shift - 8am to 4:30pmNo weekends requiredFull-TimeEssential Functions:The Transplant Financial Coordinator (TFC) will work with other members of the transplant team, insurers, administrative, billing, financial and clinical personnel at RWJUH to ensure financial coverage of transplant and living donor servicesParticipates in the weekly Transplant Selection Committee meetings to represent financial aspects of transplant candidatesPrepares financial reports on each patient prior to the meeting, and answers questions about finances at the meetingObtains and documents detailed patient insurance benefit information for all aspects of the transplant process, including, but not limited to, transplant surgery, outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessaryDiscusses benefits and other transplant financial issues with patients and/or family members during initial evaluationAdvises patients on insurance and billing issues and optionsServing as a resource for patients and their family members on financial mattersProvides patients with educational materials about the financial considerations of transplantation and information about financing options and insurance coverageObtains all necessary payor authorizationsVerifies transplant coverage and other medical benefits and acquiring necessary referrals and authorizations for inpatient stays and proceduresMonitors insurance coverage for patients throughout the period that they are waiting for a transplantAssists patients with questions concerning insurance and other financial issuesIdentifies and effectively communicates financial information to transplant team members, patients and their families with emphasis on identifying any potential patient out-of-pocket liabilityWorks with patients, their families and team members, when possible, to help address insurance coverage gaps via alternative funding optionsAssists patients with the application process for government or other financial assistance programs working with the institution Financial Coordinators if a patient is self-pay or insurance benefits do not cover the hospital servicesFacilitates resolution of patient billing issuesServes as a liaison with the RWJUH professional fee and hospital billing offices to resolve billing questions and issuesCommunicates data to RWJUH Utilization Management Department to assist with the medical review processCollaborates with the RWJUH Office of Managed Care to obtain single case agreements, or other arrangements with patient insurance companies, in order facilitate transplant coverageAssists with proper identification of and accounting for global contract casesMaintains familiarity with UNOS and CMS regulations related to transplant finance and billing practicesAssists with review of claims to determine if they are appropriate for payment from organ acquisition or by a patient's insurance companyOther Duties:Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.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 InsuranceDental and Vision InsuranceRetirement PlansShort & Long Term DisabilityLife & Accidental Death InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible Spending AccountsWellness ProgramsVoluntary 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.