Trans Financial Counselor I at Emory Healthcare

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

11 May, 26

Salary

0.0

Posted On

10 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Coverage, Patient Services, Financial Counseling, Authorization, Funding Resources, Medicare Eligibility, Medicaid Eligibility, Social Security Disability, Healthcare Regulations, Transplant Services, Patient Financial Services, Collaboration, Research, Limitations, Exclusions, Out-of-pocket Expenses

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description RESPONSIBILITIES: Under direct supervision, ensures optimal insurance coverage and payments for all pre, transplantation, and post-transplant patient services for designated organ program. Obtains detailed patient insurance benefit information including, but not limited to: outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessary. Researches type of coverage, limitations and exclusions for appropriateness according to the transplant program financial criteria. Works collaboratively with the insurance companies to obtain authorization for a transplant and to identify out-of-pocket expense for the patient. Serves as a resource to transplant candidates with respect to alternate funding and choices of insurance coverage, i.e., Medicare and Medicaid eligibility, COBRA, Social Security Disability, retirement plan, etc. MINIMUM QUALIFICATIONS: High school diploma required. Three (3) years experience in healthcare patient financial services or insurance setting OR five (5) years experience in healthcare setting required. Knowledge of Centers for Medicare and Medicaid Services regulations related to transplant services or obtain training within first 6 months of employment. Third party payor experience preferred. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

The counselor ensures optimal insurance coverage and payments for transplant patient services. They work collaboratively with insurance companies and serve as a resource for transplant candidates regarding funding and insurance options.