Description

　　In this role you will coordinate administrative services and operations for transplant services. Responsibilities include but are not limited to:

　　Respond to emails, calls, and transfers for inpatient evaluations and higher level care from outside facilities

　　Provide transplant knowledge to answer any question related to Liver, Heart, Lung, Kidney, and Small Bowel Transplants

　　Verification, authorization, preadmission, and clearance for Islet Cell Pancreas Transplants and Allogeneic Islet Cell Transplants

　　Function as the Optum Website Liaison including: initiation of Optum transplant case rates, obtaining notification forms, updating the website

　　Salary Range: $77,299.40-$178,552.20/annually

　　Position is 2 out of 2Qualifications

　　Required:

　　Financial Counseling in the field of Transplantation with experience in on-call activities

　　Working knowledge of third party payer verification terminology

　　Working knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up

　　Working knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies

　　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

　　Ability to attend to many details within a short span of time

　　Skill in detecting erroneous data input that would otherwise disable census system output mechanisms

　　Working knowledge of HMO's and PPO's, in order to understand, explain and calculate Per Diem rates, contractual allowances and percentage discounts

　　Skill in computing ratios, rates and percentages in order to calculate estimated prorated balances and patient liability

　　Skill in analyzing information, problems, situations, practices or procedures in order to define the problem/objective; identify relevant concerns/factors; identify patterns, tendencies or relationships; formulate logical and objective conclusions; recognize alternatives and their implications

　　Preferred:

　　Transplant Financial Coordinators Association - Certified Transplant Financial Coordinator Certification

　　Knowledge of transplant specific organ acquisition cost centers

　　Ability to scrutinize credit reports and evaluate personal financial information to detect any problems, discrepancies or questionable areas and set up an appropriate financial arrangement when necessary

　　Knowledge of the availability of specific accommodations for patients on various nursing units to initiate proper room and care charges

　　Knowledge of physician team and specialty to accurately validate medical services rendered to patients

　　Knowledge of unit specialties with specific regards to proper patient and team assignment

　　Ability to monitor bed availability, predict, and communicate possible problems to appropriate departments

　　Working knowledge of the department functions of an acute care hospital and their organizational interrelationships

　　UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.