Transplant Manager Jobs in Renton, WA (NOW HIRING)

University of Washington Medical Center - Montlake Transplant Services has an outstanding opportunity for a Transplant Financial Coordinator.

Transplant Services at UW Medical Center - Montlake combines the clinical, academic and research activities of the transplantation and cardiothoracic surgery divisions at UW Medicine. Our board-certified surgeons perform most of the multi-organ procurements in Washington, Alaska, Montana and northern Idaho. We’re organized around the following multidisciplinary clinical teams, all of which provide transplant care with compassion, integrity and respect for individual dignity: heart transplantation, kidney-pancreas transplantation, liver transplantation, and lung transplantation. Through Seattle Children’s, we offer pediatric kidney, liver and heart transplantation services. at UW Medical Center - Montlake also offers programs in autologous bone marrow transplants and high-dose chemotherapy.

Full-time, 40 hours/weekly, M - F, Hybrid Days (3 days in office, 2 day from home)

Office located at UW Medical Center - Montlake

Conveniently located near public transportation Make a difference for the patients and employees we serve Opportunity to provide career growth PRIMARY JOB RESPONSIBILITIES Obtain and document detailed patient insurance benefit information for all phases of the transplant process, including, but not limited to, outpatient prescription drugs, organ acquisition, follow-up Clinic visits, and travel and lodging, if necessary Obtain all necessary authorizations from payers, verifying transplant coverage and other medical benefits and obtaining referrals and authorizations if required. Request a Benefit Level Exception (BLE) or a Single Case Agreement (SCA) as appropriate from the UW Medicine Contracting Department for non-contracted health plans Obtain all necessary information, including clinical documentation, required by payors for approval of different transplantation phases, including benefit verification, payor authorization, referrals, precertification, and case management Communicate with appropriate clinical staff the status of ongoing payer requests, denials and/or potential denials for non-covered services and other problems; initiate communication with appropriate agencies and clinical staff for appeal of denials; Conduct required follow-up on all initiated prior authorizations in an effort to obtain the final authorization Meet with transplant candidate, potential living donors and/or family to explain insurance coverage, treatment costs, and hospital billing policies Ensure that adequate insurance benefits or funding arrangements are in place prior to transplant. Consistently document all interactions with patients and family members Provide quality service to patients by providing comprehensive and ongoing financial counseling. Serves as a resource to transplant candidates and their families and living donors regarding transplant payor benefits, billing issues, alternative funding options, and personal financial responsibilities regarding the transplant.

• Obtain and document detailed patient insurance benefit information for all phases of the transplant process, including, but not limited to, outpatient prescription drugs, organ acquisition, follow-up Clinic visits, and travel and lodging, if necessary
• Obtain all necessary authorizations from payers, verifying transplant coverage and other medical benefits and obtaining referrals and authorizations if required.
• Request a Benefit Level Exception (BLE) or a Single Case Agreement (SCA) as appropriate from the UW Medicine Contracting Department for non-contracted health plans
• Obtain all necessary information, including clinical documentation, required by payors for approval of different transplantation phases, including benefit verification, payor authorization, referrals, precertification, and case management
• Communicate with appropriate clinical staff the status of ongoing payer requests, denials and/or potential denials for non-covered services and other problems
• Initiate communication with appropriate agencies and clinical staff for appeal of denials
• Conduct required follow-up on all initiated prior authorizations in an effort to obtain the final authorization
• Meet with transplant candidate, potential living donors and/or family to explain insurance coverage, treatment costs, and hospital billing policies
• Ensure that adequate insurance benefits or funding arrangements are in place prior to transplant.
• Consistently document all interactions with patients and family members
• Provide quality service to patients by providing comprehensive and ongoing financial counseling.
• Serves as a resource to transplant candidates and their families and living donors regarding transplant payor benefits, billing issues, alternative funding options, and personal financial responsibilities regarding the transplant.

• High School diploma or GED certificate plus two years of experience in a medical office setting; OR, equivalent education/experience.
• Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. Challenge. Collaboration. Compassion.

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team. Join our mission to make life healthier for everyone in our community.

• Pay Range Minimum: $25.10 hourly
• Pay Range Maximum: $35.91 hourly
• Shift: First Shift (United States of America)
• Temporary or Regular? This is a regular position
• FTE (Full-Time Equivalent): 100.00%
• Union/Bargaining Unit: SEIU Local 925
• Other Compensation: - Benefits: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

About the UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all.

As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.