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Transplant Financial Coordinator - Fulltime - Days 8a - 4:30p
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Full-time
- Accountable for investigating and confirming coverage for provider evaluations, identified ancillary testing and surgeries for transplants and appropriate non-transplant surgeries.
- Provides component from financial perspective if patients are eligible to be listed according to Transplant Institute and programmatic policy.
- Determine the scope of benefit coverage for services including areas such as hospitalization, professional services, pharmacy, home health, rehabilitation, DME and organ procurement limitations.
- Coordinate the activities to obtain pre-authorization for appropriate services including clinical input, patient financial commitment amounts, eligibility periods, CPT and ICD-10 information and relevant patient compliance information.
- Perform regular reviews of eligibility for elective surgical candidates for identified non-transplant patients.
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