Financial Coordinator

Job Title: Financial Coordinator

Location: 10 Plum Street

Department Name: Heart Transplant Evaluation

Req #: 0000197985

Status: Hourly

Shift: Day

Pay Range: $23.00 - $32.00 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The Transplant Financial Coordinator is an essential member of a multidisciplinary team, responsible for delivering accurate and professional financial counseling to patients throughout the transplant process. This position ensures compassionate financial support, facilitates access to transplant and LVAD services, and maintains continuity of care.

Qualifications:

Required:

• High school diploma with 4 years of relevant experience, Associate's degree with 2 years of experience, or college degree with 1 year of experience
• Experience in a hospital, business office, or physician's office setting
• Strong communication skills to interact effectively with patients, families, and all levels of the organization

Preferred:

• Experience in insurance review, verification, and billing processes

Scheduling Requirements:

• Working Shift: Monday - Friday
• Day Shift
• Per-Diem, Based on Business Needs

Essential Functions:

• Collaborate with patients and families to conduct financial screenings and interviews for transplantation and advanced therapies
• Partner with clinical teams to analyze and manage complex data related to contracts and patient benefits for financial clearance
• Verify insurance coverage for hospital, professional, and pharmacy services in collaboration with patients
• Maintain and update financial and demographic data in shared databases to streamline team workflows
• Meet with patients and families during evaluations to provide financial counseling and address their concerns
• Assist patients in navigating coverage options, including Medicare and Medicaid, and support them in securing alternative resources if needed
• Work closely with the multidisciplinary team to ensure timely compliance with authorization requirements
• Monitor eligibility, benefit changes, and financial status throughout the transplant process in collaboration with patients and the clinical team
• Facilitate pre-certifications and initiate prior authorization requests with patients and payors
• Coordinate with insurance providers to adhere to contractual guidelines, resolve denials, and collaboratively document outcomes
• Guide patients through financial approval challenges, offering support and connecting them to their insurance payer's case manager
• Identify and address insurance coverage gaps through alternative funding or financial assistance programs
• Share financial data with the Utilization Management Department to support medical review processes
• Partner with the Office of Managed Care to negotiate agreements with insurance providers for transplant coverage
• Stay up-to-date and share insights on CMS regulations related to transplant finance and billing practices

Other 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.

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.

Equal Opportunity Employer