Transplant financial Coordinator Lead

It's more than a career, it's a calling.

MO-SSM Health Saint Louis University Hospital

Worker Type:

Regular

Job Highlights:

This is a HYBRID role

The candidate must live >30 minutes from SSM Health-Saint Louis Hospital

Monday-Friday-8:00AM-4:30PM

Minimum of Three years of experience in insurance & Authorizations.

Strong organizational Skills to work effectively in this role

Join our team and make a difference every day while enjoying competitive pay, great benefits, and a supportive work environment. We offer competitive, affordable health insurance and benefits designed to support you and your family. Fulfill your calling with SSM Health — apply today!

Job Summary:

Responsible for coordinating activities of financial coordinators in monitoring and verifying financial information to assure coverage for transplant. Keeps team informed regarding patients’ insurance coverage and necessary follow-up needed to verify and/or extend coverage. Performs duties in accordance with the Department’s Policies and Procedures and Service Standards.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Coordinates operations of assigned activities, resources, and/or associates.
• Responsible for management, validation, and communication of all insurance aspects.
• Responsible for clinical Evaluation correspondence with payers.
• Coordinates insurance and billing payments and resolves financial issues with the Patient Billing Services, Professional Billing entities, and other applicable business units.
• Serves as primary customer service contact for all billing, registration, and insurance issues.
• Completes WQ activities to insure accountability needed for the Medicare Cost Report (MCR).
• Is required to attend various meetings with the physicians, administration, and staff to relay insurance information and to obtain any necessary information on potential patients coming into our system.
• Maintain knowledge of all acceptable local plans and specialty payers inclusive of transplant language.
• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

EXPERIENCE

• Three years' experience

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• None

Department:

4840000037 Abdominal Transplant

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 

• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 

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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.