Transplant Financial Administrator

Employment Type:

Full time

Shift:

Day Shift

Description:

Great opportunity for a Transplant Financial Administrator to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually.

We are seeking a Transplant Financial Administrator who is dedicated to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting impact.

The Transplant Financial Administrator supports transplant program revenue capture performance through abstraction, review, and reporting of costs surrounding pre and post-transplant patients. Will provide abstraction and analysis of clinical medical record documentation to support appropriate allocation of costs to the Medicare Cost Report (MCR) and work with MCR team. Will work collaboratively with Finance and manage workques created to assist with identification of MCR charges. Is involved in reviews by coding team that support appropriate DRG coding for transplantation patients. Will manage time study collection process ensuring all applicable time studies are collected.

• CHARGE ANALYSIS: Provides continuous monitoring of transplant and potential transplant patient charges, both in-patient and out-patient. Identifies appropriateness of charge, billing route, and collection/reimbursement of charges. Identifies and confirms or denies charges that are may be indicated as workup testing. Manages charge bundling process for potential transplant patients.
• CLINICAL ACCOUNTABILITIES: Analyzes DRG of transplant patients to identify appropriateness. Collaborate with coding and physicians to ensure appropriate EMR documentation to support DRG. Analyzes testing to determine if it is eligible for the Medicare Cost Report.
• DOCUMENTATION: Collaborates with transplant and finance teams to ensure maximization and timeliness of annual Medicare Cost Reporting processes and data. Captures time studies for applicable staff.
• The Transplant Financial Administrator (TFA) supports transplant program revenue through data analysis, review and reporting of costs surrounding pre and post-transplant patients.
• Provides data analysis of clinical medical record documentation of all new solid organ transplant and potential transplant patients to support appropriate allocation of costs to the Medicare Cost Report (MCR).
• Collects, reviews and tracks organ acquisition invoices from Organ Procurement Organizations (OPO), transportation vendors, laboratory services, and other miscellaneous service providers prior to submitting to Trinity for payment processing.
• Reviews all organ transplant inpatient and outpatient accounts at the request of the Patient Financial Services and Revenue Integrity team.

We offer our employees:

• Benefits from Day One
• Competitive compensation
• Career Development
• Tuition Reimbursement
• On Site Fitness Center
• Educational Stipend
• Referral rewards

Our Promise to You:

Joining Loyola Medicine is being a part of an organization that treats the human spirit in our patients and in our colleagues.  We are a part of a community which believes in giving back to those we serve.

We seek colleagues with:

Qualifications

• Bachelor’s degree in finance, Accounting or related field of study. 
• Computer Skills: Microsoft Word
• Ability to analyze and interpret data Ability to communicate verbally
• Ability to compile complex reports and develop presentations Ability to deal calmly and courteously with people
• Ability to deal with stressful situations Ability to finish tasks in a timely manner
• Ability to follow oral and written instructions and established procedures Ability to function independently and manage own time and work tasks Ability to maintain confidentiality
• Ability to organize workflow
• Ability to plan, coordinate and develop multiple projects Ability to work as an effective team member
• Be able to interpret and manage laboratory and diagnostic testing justification.

Additional Qualifications (nice to have)

• Master’s Degree
• Knowledge of EPIC, Microsoft Outlook, Power Point, and Word

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.