Manages accounts and analyzes coverage for all areas associated with the Transplant Unit to ensure that maximum reimbursement is received from third party payers and self-pay accounts. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
High School diploma or equivalent.
Three (3) years of experience in patient accounting, insurance, or related field.
Bachelor’s Degree in Accounting, Finance, or related field.
Must have extensive knowledge of patient accounting, credit, insurance procedures, and coverage.
Proficient in systems software applications, to include Excel, Word, Microsoft Office, etc.
Ability to communicate verbally and in writing with all levels of Associates and management, possibly in an adversarial setting.
Must have the ability to learn the fundamental concepts of the practices and procedures associated with transplants.
Ability to set priorities, coordinates multiple tasks, organize tasks, and maintain control of workflow.
Key Job Responsibilities
Meets and consults with patients to determine insurance coverage and to explain costs of the transplant program.
Coordinates with others in department regarding coverage.
Works with insurance companies to arrange for insurance coverage.
Maintains records of insurance and financial contracts within the Meditech System.
Provides information on number of evaluations and listings.
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work – exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
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