Job details

Transplant Financial Counselor

The Transplant Financial Counselor (TFC) is a critical member of the transplant multidisciplinary team and works collaboratively with physicians, nurse coordinators, social workers, practice coordinators, and external insurance case managers to ensure that patients are financially eligible and cleared for services throughout the transplant process. The TFC also collaborates with the Contracting Department for non-contracted payors. The TFC will be responsible for clearing a large caseload of approximately 500 pre-transplant patients which includes insurance verification, obtaining transplant benefits, and obtaining authorizations for the initial evaluation. The TFC is a critical role and is required of all transplant programs as stated in the United Network for Organ Sharing (UNOS) bylaws.

The TFC works independently and follows the guidelines set forth by the transplant department's policies and procedures. The TFC provides counseling on transplant-specific financial expectations, coordinating the insurance process for patients for evaluation, living donor workup, and other specialty referral appointments as necessary. This includes obtaining all needed authorizations for the above-mentioned services while seeking to maximize the utilization of benefits and coordinate cost-effective care in a managed care environment for each patient.

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (ucop.edu)

Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.

For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

UCSF Transplant Services provides care to kidney, heart, liver, lung and pancreas patients with end stage organ failure requiring transplantation. Each year we evaluate over 2,000 potential recipients and living donors and perform over 600 transplants. UCSF is one of the busiest transplant programs in the country with excellent post-transplant outcomes. Our multidisciplinary team of experienced clinicians provides cutting edge care to our patients and their families.

Required Qualifications

Bachelor's degree in a related area and/or equivalent experience/training.
Three (3) years of experience with insurance benefits and authorizations
Advanced interpersonal skills to develop productive ongoing relationships with payors, outside agencies, and patients. Ability to interact with patients about financial preparedness, insurers, and other parties.
Strong computer proficiency in all relevant applications and software, with a knowledge of spreadsheet and document applications, and a variety of specialized billing and insurance systems.

Preferred Qualifications

Transplant Financial Coordinator Certification
Experience working in organ transplantation
Thorough knowledge of insurance processes, concepts, systems, and external regulations. Knowledge of medical terminology, coding, and billing.
Strong analytical skills, conducting interviews and research, developing and recommending new systems, workflows, and procedures.
Ability to serve as a technical leader, providing expertise and serving as an educational resource to staff and management at all levels.

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

004543 PAT BILL AND COLL REPR 3

Job Category

Financial

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%