Job Description

We are hiring for our client in the higher education and healthcare industry.

Duration: 3 months (extendable)

Shift Timings: 8:30 am to 5 pm

Responsibilities:

• Verify insurance coverage and submit authorizations for transplant-related medical services.
• Counsel patients on insurance plans, benefits, coverage gaps, and available options.
• Provide real-time insurance guidance to patients and staff.
• Ensure smooth financial clearance by following standardized workflows.
• Participate in multidisciplinary team meetings and case discussions.
• Contribute to process improvements to enhance operational efficiency.

Must-Have Qualifications:

• Insurance Knowledge – Familiarity with Commercial, Medicare, Medi-Cal, HMO, and PPO plans.
• Insurance Verification & Authorization – Experience verifying coverage and obtaining approvals.
• Patient Counseling – Ability to explain insurance benefits and financial responsibilities to patients.
• Transplant-Specific Knowledge – Understanding of transplant-related insurance policies.
• Problem-Solving Skills – Capable of addressing complex insurance issues in real time.
• Analytical Skills – Ability to interpret insurance information and communicate findings.
• Communication Skills – Strong verbal and written skills for patient and team interactions.
• Team Collaboration – Willingness to work with multidisciplinary teams.
• Process-Oriented – Follows established workflows for financial clearance.
• Tech Savvy – Ability to quickly learn hospital and transplant-related IT systems.

Nice-to-Have Qualifications:

• Healthcare IT Experience – Knowledge of Epic, Cerner, OTTR, or Passport Eligibility Verification System.
• Bilingual Fluency – Strong preference for Spanish or other commonly spoken languages.
• Hospital/Transplant Experience – Prior experience in a transplant program or hospital setting.
• Complex Insurance Cases – Comfortable handling under-insured patients and coverage lapses.
• Financial Clearance Workflows – Familiarity with processes to accelerate approvals.
• Process Improvement – Experience contributing to workflow and patient care enhancements.

Job Tags

Similar Jobs