Transplant Financial Coordinator-Hybrid
Mayo Clinic · Phoenix
HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.
The Transplant Financial Coordinator is an advanced level position, responsible for resolving referral, precertification, prior authorization and/or financial clearance through the pre-transplant and post-transplant process. Courteously and professionally works with patients to outline financial obligations related to care, and provides options for patients to meet financial requirements, including assessing financial assistance eligibility, determining insurance coverage eligibility, establishing payment arrangements, collecting preservice payments and co-payments as needed.
This position may be responsible for workload throughout all the Mayo Clinic sites, regardless of the representative’s physical location. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access Prior Authorization department. This role requires interpretation of insurance coverage eligibility, insurance transplant contracts, and the submission of Letter of Agreement (LOA) and Individual Case Negotiation (ICN) requests to address any in/out of network coverage or self-pay issues.
This position may participate in selection committee meetings with the Transplant Team from a financial aspect to assist the committee’s decision to accept/deny potential transplant recipients and the determination of the patient’s transplant listing status. This role may also include participation and collaboration with a multidisciplinary team in the development and implementation of protocol and standards of care planned for the transplant patient.
This position will be responsible for monitoring and the updating of necessary documentation according to the United Network of Organ Sharing (UNOS) guidelines that may include listing, status changes and post-transplant follow up information. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations.
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
- 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.