Transplant Financial Coordinator

Assignment Information:
Medical Enterprise:
Cost Center: TBD
PCC: 20773, 20774 and 20775

Address where the work is being performed 2011 N. Soto St, Los Angeles, CA 90033, 2nd Floor
100 % - On Site, no remote opportunities
Job Title: Transplant Financial Coordinator
Number of needs: 3
Target start date: ASAP
Duration of Assignment: 13 Weeks
Contract to hire opportunity: No, not at this time this is coverage for FTEs who are on leave
Work hours: 8:30am 5:00pm, M-F (30 minute lunch)
Dress code: Business Casual
Parking/Cost: Parking pass provided but this might take a few days to secure so pay will be out of pocket by the contingent worker.

Must Have's:
Professional Appearance:
Must Have: some type of hospital or medical clinic experience
Insurance knowledge: Commercial, Medicare, Medical, HMO vs PPO
Insurance Verification & Authorization Experience
Ability to verify insurance coverage and submit authorizations for medical services.
Patient Counseling on Insurance Plans
Must be able to clearly explain insurance benefits, gaps, and options to patients.
Understanding of Transplant Benefits
Solid knowledge of transplant-specific insurance coverage across various plans.
Real-Time Problem Solving
Must be capable of providing quick, accurate insurance guidance to patients and staff.
Analytical Skills
Ability to analyze insurance information and communicate findings effectively.
Strong Verbal & Written Communication
Comfortable conveying complex information clearly to diverse audiences.
Team Collaboration
Expected to participate in multidisciplinary team meetings and contribute to case discussions.
Process-Oriented
Follows standardized steps for financial clearance and contributes to improving operational throughput.
Tech Savvy
Able to learn and use hospital/transplant-specific IT systems related to insurance and financial clearance.

Nice-to-Haves:
Epic; Cerner, OTTR experience preferred (not required).
Passport Eligibility Verification System knowledge preferred (not required).
Bilingual Fluency
Strongly preferred; enhances communication with diverse patient populations.
Experience in Transplant or Hospital Settings
Prior work in a transplant program or similar healthcare environment.
Experience with Complex Insurance Cases
Comfort handling under-insured patients or those with lapses in coverage.
Familiarity with Financial Clearance Workflows
Knowledge of operational processes to accelerate clearance timelines.
Participation in Process Improvement Initiatives
Experience contributing to improvements in patient care or workflow efficiency.
Under the direction of the TFC supervisor, the transplant financial coordinator (TFC) is a designated member of the multidisciplinary transplant team. His/her
primary function is to assure transplant patients medical services are covered by insurance. This includes: insurance verification, authorization submission,
effective patient counseling of insurance plans, providing insurance guidance when patients have a lapse of insurance or are under-insured and solid
understanding of the complexity of transplant benefits as dictated by different insurance coverage. S/he is responsible for accelerating patient financial clearance
by following standardized process steps. The TFC is also expected to problem-solve in real time and provide appropriate insurance direction to patients and staff,
as needed. The TFC will participate in team meetings and discussions related to complex cases, advancing operational throughput and process improvement to
benefit patient care. S/he should possess analytic skills and be able to evaluate/analyze insurance information to effectively convey and communicate to others.
S/he should have excellent verbal and written skills and an ability to easily learn hospital and transplant IT systems as they relate to financial clearance and
insurance. Bilingual fluency is strongly preferred.
Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.

Medical Enterprise - Non-Clinical Onboarding Requirements:
Background, Education, and Employment
Background Check:
Social Security Trace: 7 years worked and lived found by SSN Trace
County Criminal F&M: 7 years
Federal Criminal: 7 years
Widescreen Plus National Criminal Search
National Sex Offender Registry
Healthcare Sanctions State
OIG/SAM

Education:
HS Diploma (or equivalent GED)

Employment:
Verification of 3 Employers, with 2 out of 3 verified

Other Requirements:
HIPAA Training
Application
Temporary Worker Agreement
Harassment & Discrimination Pamphlet

Medical Requirements:
Immunizations:
MMR (Measles, Mumps, Rubella): Proof of immunity or series of 2 shots
Varicella (Chickenpox): Proof of immunity or series of 2 shots
Hepatitis B: Proof of immunity or series of 3 shots; worker can decline with a declination form on file

TB Test:
Annual test required; results must be read within 24 to 48 hours
Positive TB history requires chest x-ray results

Drug Screen:
Must be taken within 72 hours or the offer is rescinded.
10-panel drug test including:
Amphetamines
Barbiturates
Benzodiazepines
Cocaine metabolite
Opiates (Codeine, Morphine)
Hydrocodone
Hydromorphone
Oxycodone
Phencyclidine
Methadone
Propoxyphene

Influenza Vaccination:
Required for the current flu season (11/1 through 5/30)
Workers starting after May 1st should wait until after September 1st for the next flu shot season
Accepts signed personal/medical exemption

Covid Vaccinations:
Fully vaccinated with Covid-2024-25 Vaccine
Accepts signed religious/medical exemption

Note:
All items are billable except for the drug screen.
Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act