Transplant Financial Specialist

Cedars-Sinai • Los Angeles, CA • 1h ago

Job Description

When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters.

This shared culture of happiness, passion, and dedication pulses through Cedars-Sinai, and it's just one of the many reasons why we rank as one of the top hospitals in the nation by U.S. News & World Report.

What does the Transplant Financial Specialist do?

The Transplant Financial Specialist is a hybrid role that provides financial support to the Kidney Operations programs. Verifies eligibility and benefits to acquire insurance authorizations prior to all Transplant-related procedures, diagnostic tests, and physician consults. Assists with patient billing inquiries, and insurance denial and reimbursement queries. Monitors and identifies changes in regulations and legislation with regards to commercial and government payer reimbursement practices. Provides financial counseling to patients and their families. Provides assistance and support to the Finance Leads and Associate Director with ad hoc data analysis projects to demonstrate financial performance of the advance disease and transplant programs. In this role you will:

Create and maintain database systems to store, manage and track information and data for assigned department.

Generate reports using standard report writing from various medical databases and from the CS Link data warehouse. Lead and coordinate data collection and data maintenance for both internal and external users as requested. Develop and maintain quality control systems required to ensure data quality, reliability and integrity. Perform other activities require to maintain efficient, accurate data systems. Perform daily reconciliation of hospital billing charges to ensure that clinical revenue properly files to the appropriate cost center. Work accounts in the physician billing work queue. Maintain administrative upkeep of CJRR, IRB-approved study.

Primary Duties:

Perform daily reconciliation of hospital billing charges.

Generate reports from medical database and CS Link data warehouse.

Create and maintain internal databases that track clinical/surgical volumes, clinic efficiency/productivity and patient outcomes.

Maintain the PB work queue by reviewing and correcting errors in patient accounts.

Perform administrative upkeep of CIRR study and other IRB-approved studies for Ortho Center physicians (as applicable)

Reconcile patient accounts for error and patient complaints regarding billing.

Qualifications

Requirements:

Transplant experience highly preferred.

High school diploma/GED required. Associate degree/College diploma preferred with courses in business, accounting, and computer science.

Two years in finance or equivalent office experience strongly preferred.

Why work here?

Beyond outstanding employee benefits including 16 days paid vacation plus 10 paid holidays, a 403(b) and our Choice Retirement plan (100% funded by Cedars-Sinai) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

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