Job Summary Accountable for evaluating, clarifying, and determining the financial risk involved for organ donors, recipients, the transplant physicians, the facility and any possible internal ...
Job Summary Accountable for evaluating, clarifying, and determining the financial risk involved for organ donors, recipients, the transplant physicians, the facility and any possible internal ...
Financial Crime Risk Investigator II - OneTouch (US)
Greenville, SC · Remote
$29.75 - $47.75/hr
Financial Crime Risk Management Department Overview: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter ...
Financial Crime Risk Investigator II - OneTouch (US)
Greenville, SC · Remote
$29.75 - $47.75/hr
Financial Crime Risk Management Department Overview: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter ...
Financial Crime Risk Investigator II - OneTouch (US)
Greenville, SC · Remote
$29.75 - $47.75/hr
Financial Crime Risk Management Department Overview: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter ...
Financial Crime Risk Investigator II - OneTouch (US)
Greenville, SC · Remote
$29.75 - $47.75/hr
Financial Crime Risk Management Department Overview: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter ...
Financial Crime Risk Investigator II - OneTouch (US)
Greenville, SC · Remote
$29.75 - $47.75/hr
Financial Crime Risk Management Department Overview: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter ...
Financial Crime Risk Investigator II - OneTouch (US)
Greenville, SC · Remote
$29.75 - $47.75/hr
Financial Crime Risk Management Department Overview: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter ...
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Summary The Consumer Finance Direct Lending Portfolio & Risk Specialist plays a key role in overseeing the credit risk performance of the Direct Lending portfolio, including unsecured and/or secured ...
Summary The Consumer Finance Direct Lending Portfolio & Risk Specialist plays a key role in overseeing the credit risk performance of the Direct Lending portfolio, including unsecured and/or secured ...
Summary The Consumer Finance Direct Lending Portfolio & Risk Specialist plays a key role in overseeing the credit risk performance of the Direct Lending portfolio, including unsecured and/or secured ...
Summary The Consumer Finance Direct Lending Portfolio & Risk Specialist plays a key role in overseeing the credit risk performance of the Direct Lending portfolio, including unsecured and/or secured ...
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Quick apply
This position will support the DOE-SR Field Chief Financial Officer to assist in managing the Federal Risk Management Program, analyzing and interpreting mission programs input to the Integrated Life ...
This position will support the DOE-SR Field Chief Financial Officer to assist in managing the Federal Risk Management Program, analyzing and interpreting mission programs input to the Integrated Life ...
Quick apply
This position will support the DOE-SR Field Chief Financial Officer to assist in managing the Federal Risk Management Program, analyzing and interpreting mission programs input to the Integrated Life ...
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This position will support the DOE-SR Field Chief Financial Officer to assist in managing the Federal Risk Management Program, analyzing and interpreting mission programs input to the Integrated Life ...
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Senior Financial Representative
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Financial Crime Risk Investigations Support Officer II (US)
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Enterprise Risk Officer
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Enterprise Risk Officer
Greenville, SC · On-site
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The Digital Risk Services Practice Leader is a Director/Partner-level role responsible for leading ... This leader is accountable for practice strategy, financial performance, quality delivery, talent ...
The Digital Risk Services Practice Leader is a Director/Partner-level role responsible for leading ... This leader is accountable for practice strategy, financial performance, quality delivery, talent ...
The Digital Risk Services Practice Leader is a Director/Partner-level role responsible for leading ... This leader is accountable for practice strategy, financial performance, quality delivery, talent ...
The Digital Risk Services Practice Leader is a Director/Partner-level role responsible for leading ... This leader is accountable for practice strategy, financial performance, quality delivery, talent ...
Enterprise Risk Officer
Greenville, SC · On-site
Bachelor's degree in business administration or a related field. * 8+ years of risk management experience - Enterprise Risk, Operational Risk, and / or Internal Audit and 10+ years of financial ...
Enterprise Risk Officer
Greenville, SC · On-site
Bachelor's degree in business administration or a related field. * 8+ years of risk management experience - Enterprise Risk, Operational Risk, and / or Internal Audit and 10+ years of financial ...
Enterprise Risk Officer
Greenville, SC · On-site
Bachelor's degree in business administration or a related field. * 8+ years of risk management experience - Enterprise Risk, Operational Risk, and / or Internal Audit and 10+ years of financial ...
Enterprise Risk Officer
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Financial Risk information
What is the difference between Financial Risk vs Credit Analyst?
| Aspect | Financial Risk | Credit Analyst |
|---|---|---|
| Primary Focus | Identifying and managing financial risks across investments, markets, and corporate strategies | Assessing creditworthiness of individuals or companies to determine loan eligibility |
| Required Credentials | Finance, risk management certifications, often a degree in finance or economics | Finance, accounting, or economics degree; certifications like CFA or credit-specific training |
| Work Environment | Financial institutions, investment firms, corporate risk departments | Banks, lending institutions, credit agencies |
| Industry Usage | Widely used in banking, investment, and corporate sectors for risk mitigation | Primarily in banking and lending sectors for credit assessment |
Financial Risk professionals focus on identifying and mitigating potential financial losses across various areas, while Credit Analysts specialize in evaluating the creditworthiness of borrowers to facilitate lending decisions. Both roles require finance-related credentials and are integral to financial institutions, but their core responsibilities differ significantly.
Is a financial risk analyst a good career?
What is a financial risk job?
What are the most commonly searched types of Financial Risk jobs in South Carolina?
The most popular types of Financial Risk jobs in South Carolina are:
What cities in South Carolina are hiring for Financial Risk jobs?
Cities in South Carolina with the most Financial Risk job openings:

Full-time
Posted 19 days ago
Key responsibilities
Evaluate, clarify, and determine the financial risk involved for organ donors, recipients, and related parties.
Obtain and document insurance authorizations and benefits for transplant-related services, including inpatient and outpatient care.
Coordinate communication with payors, healthcare providers, and patients to ensure proper billing, reimbursement, and financial resource management.
Prisma Health rating
7.1
Based on 351 frontline employees who took The Breakroom Quiz
378th of 898 rated healthcare providers
Job description
Job Summary
Accountable for evaluating, clarifying, and determining the financial risk involved for organ donors, recipients, the transplant physicians, the facility and any possible internal ancillary departments, and patients as transplant services are required. This includes determining the patient's benefits available for evaluation, pre-transplant maintenance, Transplant admission, and post-transplant follow-up care; obtaining inpatient and outpatient authorizations for hospital and physician services; and ensuring necessary communication occur between the payor, and the facility for appropriate and accurate billing and reimbursement of services.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
- Obtains, clarifies, and documents the timely receipt of financial authorizations and benefits of patients requiring transplant evaluations, hospitalizations, and other transplant related inpatient or outpatient services.
- Ensures that insurance coverage is available prior to services being rendered.
- Determines scope of patients' benefits including but not limited to coverage for hospital, physician, outpatient, pharmacy, home health, organ procurement, rehabilitation, and DME services.
- Receives notifications of all transplant referrals from both internal and external sources. Identifies and documents primary and secondary payors.
- Obtains necessary authorizations for hospital and physician services to be provided either in the inpatient and outpatient setting. Transmits the verification numbers and billing information to the hospital finance department, the central billing office (if applicable) and the various physician offices.
- Coordinates the performance of a financial review of the patient's resources with the Transplant Social Worker. Makes recommendation to the Administrator regarding any additional financial resources that may be available for the patient.
- Ensures the Transplant Financial Policy guidelines are implemented.
- Meets with and/or performs telephone consultations with patients and their families regarding insurance benefits and clarifies scope of insurance coverage as needed. Consistently document all interactions with patients and family members.
- Manages and directs maintenance of financial logs regarding status of patient's primary and secondary payors.
- Updates patient accounting, admitting, and physician offices regarding any changes in the patients' payor's class is entered and updated as needed.
- Performs re-certification on all inpatients, coordinating communications between the clinical coordinators, physicians, social workers, the hospital utilization review coordinators, the patient/family, and the payor.
- Clarifies the appropriate type of admission required for inpatient or invasive coordinate scheduling appointments.
- Identifies other financial resources that may be available for patients. Consultants with Transplant Social Worker for patient follow-up and feedback.
- Reviews initial clinical information to determine medical appropriateness of referral. Reviews data with medical directors as necessary prior to proceeding with authorization process.
- Receives patients' demographic updates and ensures information is entered into transplant database and hospital patient account in a timely manner.
- Ensures interactions with third party payors case manager and contract managers occur timely, accurately, and professionally.
- Initiates discussions with payor regarding any need for and individual contract to be negotiated as patients are referred for transplant evaluation. Notifies transplant managed care specialist who will negotiate with payors as necessary.
- Consistently documents all interactions with payors.
- Performs written correspondence to payors to obtain and to send information and letters of medical necessity.
- Develops and maintains professional relationships with third party payors' case managers and medical directors in order to complete and to obtain benefits and authorizations in a timely manner.
- Monitors and trouble-shoots any third-party payor reimbursement denials to correct potential Transplant Administrator and Medical Directors in a timely manner.
- Monitors and identifies changes in regulations and legislation with regard to Medicare of third-party payor reimbursement for organ transplantation and updates Transplant Administrator and Directors in a timely manner.
- Liaison for Greenville Memorial Hospital and transplant physicians' offices to the payors regarding authorization or billing issues.
- Participates in on-site payor visits as requested.
- Assist in the ongoing education of transplant staff regarding updates in transplant contracts, Medicare reimbursement, and outside resources available to patients.
- Assist in the development and revision of departmental guidelines such as the Transplant Financial Policy.
- Presents in-services to transplant staff, hospital staff, and physician office staff regarding managed care updates and assists in development and implementation of communications systems to send and to receive clinical and financial data between payors and patients referring physicians, transplant physicians, and payors. Participates in transplant patient selection committee meetings and makes changes to patient status according to selection committee vote (i.e. List for transplant, hold, inactivate, etc.
- Participates as a member of Transplant Financial Coordinators Association (TFCA) and other professional organization committees to expand and to contribute knowledge of transplant reimbursement and managed care.
- Participates in necessary professional organization, meeting, etc. to remain current of financial and reimbursement issues that may impact transplant care.
- Performs other duties as assigned.
Supervisory/Management Responsibilities
- This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - High School diploma or equivalent. Associate degree in related field of study preferred.
- Experience - Three (3) years related experience (i.e., healthcare patient financial services, financial counseling, healthcare patient accounting, admitting, utilization review, quality assurance or case management).
In Lieu Of
- In lieu of minimum requirements stated above, may accept Bachelors in Accounting/ Finance and one (1) year of related experience (i.e.., patient financial services, healthcare patient accounting, admitting, utilization review, quality assurance or case management).
Required Certifications, Registrations, Licenses
- TFCA (Transplant Financial Coordinators Association) certification within 2 years of hire date
- Certified Patient Accounts Representative (CPAR) and/or Certified Patient Financial Counselor (CPFC) in hospital setting preferred.
Knowledge, Skills and Abilities
- Medical Terminology knowledge
- Experience with transplant financial counseling and/or transplant insurance authorizations preferred.
Work Shift
Day (United States of America)
Location
Greenville Memorial Hospital
Facility
Greenville Memorial Hospital
Department
Solid Organ Transplant Clinic
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About Prisma Health
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Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US