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Under the general direction of the Senior Manager, Outpatient CAU, the Transplant Financial Coordinator clarifies and coordinates the financial patient-specific aspects of care. The coordinator will work 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 a continuity of care. Primary responsibilities include verification of insurance benefit eligibility, insurance pre-certification and insurance authorizations. This position acts as a financial counselor for transplant candidates and their families and advises the transplant team members (the transplant nurse coordinators, physicians, third party payers, and patient accounts) on issues of financial reimbursement. This position identifies administrative and financial problems involving reimbursement for transplant-related services and interfaces with the relevant departments and clinical and administrative staff in order to maximize reimbursement. This position develops and recommends procedures associated with the administrative and fiscal mechanisms of transplant care coordination.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS:
The right candidate is trustworthy, has a positive attitude, quick mind, and thrives while working under strict time-lines. We are looking for a fast learner of public third party payer regulations to ensure reimbursement so that MGH can continue to provide the highest quality of care to in the industry for some of most vulnerable citizens. We will gladly train the right candidate.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
WORKING CONDITIONS:
Most of the work is performed within the MGH Patient Access Setting in a cubicle setting working with a computer and phone. The right candidate must be comfortable working with patients as there is some face to face interaction in a clinical environment. Some lifting may be required, up to 20lbs. Some periodic local travel is required and possibly air travel cross-country.
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