Job Description

Payroll Title:
PAT BILL AND COLL REPR 3
Department:
Liver Transplant Program
Hiring Pay Scale
$72,036 - $108,000 / Year
Worksite:
Executive Drive
Appointment Type:
Career
Appointment Percent:
100%
Union:
Uncovered
Total Openings:
4
Work Schedule:
Days, 8 hrs/day, Monday - Friday

#130093 Financial Coordinator-Transplant

Extended Deadline: Tue 7/23/2024

UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

UCSD Layoff from Career Appointment: Apply by 06/21/2024 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 07/03/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.

This position will remain open until filled.

DESCRIPTION

Under the direction of the Transplant Finance Manager, the Transplant Financial Coordinator (TFC) is a designated member of the multidisciplinary transplant team. Incumbent is responsible for securing funding for transplant services, this includes: financial screening, insurance verification, submit authorizations, patient counseling for health plan coverage and development negotiation of payment or arrangements. Routinely confers with physicians, hospital administrators, contracting, payers and external agencies to develop and coordinate complex negotiations for reimbursement payment rates.

Responsible for activities which include compiling patient profiles for substantiation of patient's medical condition to justify specialized services. Produces monthly reports for administrative and clinical leaders responsible for specific programs. Monitors and tracks accounts to ensure that payers and patients have complied with established agreements. Works closely with transplant staff to educate members of contact specifics for individual patients. Involves patient, third party, government, physician billing and/or collections activities. Provides for coordinated processes, procedures and systems, customer service delivery models and ensuring compliance with internal policy and external agency regulations. Advocate for your patients by ensuring they receive all the benefits they are entitled to and by helping them navigate the complexities of their insurance plans.

Manages insurance reimbursement from third-party billings and government insurance programs. Keeps abreast of the full array of third-party contracts and billing/collections requirements. Incorporates cash posting, accounts receivable management and financial counseling for securing collections of accounts. Investigates highly complex claims, evaluate alternative funding sources for patients in need, and propose procedures and systems in support of efficient workflows and maximization of reimbursement.

MINIMUM QUALIFICATIONS

  • Bachelor's Degree in business, healthcare administration or related area; and/or equivalent experience.
  • A minimum of three (3+) or more years of relevant experience.
  • Demonstrated knowledge of medical terminology and coding.
  • Experience and proven success in billing and/or collections processes, concepts, systems and external regulations.
  • Working knowledge of healthcare and insurance authorization process and willing to train motivated candidate to the field of transplant finance.
  • Working knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time urgent conditions.
  • Working knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies.
  • Must have excellent telephone etiquette and ability to work with a diverse interdisciplinary team.
  • Strong knowledge of billing and / or collections processes, concepts, systems and external regulations. Knowledge of medical terminology and coding.
  • Strong knowledge of the regulations and confidentiality issues involved in the revenue side of medical care, including private and government insurance, self-pay, collections, and reporting and data management.
  • Strong analytical skills to produce comprehensive reports, and identify trends and variations.
  • Strong interpersonal and customer service skills to work effectively with all parties.
  • Strong ability to provide recommendations on issues of functionality and operations in billing. Ability to serve as a resource, providing expertise and education to staff and management at all levels.
  • Strong computer proficiency in all relevant hardware and software, with a knowledge of spreadsheet (Excel) and accounting applications, and a variety of specialized billing and insurance systems.

PREFERRED QUALIFICATIONS

  • Previous experience working in transplant to include: Transplant finance experience.
  • Previous experience working in the healthcare insurance industry.

SPECIAL CONDITIONS

  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $61,800 - $108,000 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $29.60 - $51.72

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).


If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California’s Affirmative Action Policy please visit: https://policy.ucop.edu/doc/4010393/PPSM-20
For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.

Application Instructions

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