Insurance Coordinator, Senior - Simmons Cancer Center

Insurance Coordinator, Senior – University Hospital Transplant
Simmons Comprehensive Cancer Center
Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. UT Southwestern is honored to be a Veteran Friendly work environment that is home to approximately 800 veterans. We value your integrity, dedication, and the commitment you’ve made to our country. We’re proud to support your next mission.
Job Summary
Join UT Southwestern as an Insurance Coordinator, senior in the University Hospital Transplant Program at Simmons Comprehensive Cancer Center.
This person will verify the transplant benefits, meet with patients to review transplant coverage. Obtain transplant related authorizations and enter approvals into the EMR, provide clinical updates to insurance case managers, coordinate with managed care contracting and billing depts. Work closely with the transplant coordinators.
We would love the opportunity to have you join our Nationally Ranked Cancer Center by U.S News & World Report’s!
Job Duties
Verifies patient insurance benefits including transplant-specific benefits by utilizing insurance websites or calling insurance companies. Re-verifies active coverage of waitlisted patients per departmental protocols to ensure patient readiness for transplantation and limit financial exposure of the institution.
Documents pertinent activities in applicable systems to drive transplant patient throughput. Keeps detailed documentation of calls and activities on all transplant patients for recordkeeping and continuity in cross-coverage situations.
Coordinates approval process for patients to ensure that UT Southwestern Medical Center referral, medical review and billing policies and procedures are followed.
Coordinates ongoing pre-certification and approval process with insurance case managers and provides clinical updates as requested. • Protects the privacy and security of patient health information to ensure that confidentiality is maintained.
Provides transplant patient education regarding financial aspects of services rendered. Coordinate with clinical financial counselor to assist patients with financial aspects of services rendered.
Advises physicians and other medical staff regarding insurance benefit and financial clearance status of patients.
Meets with patients and their families to discuss potential out-of-pocket expenses related to immunosuppressive drugs and follow-up care.
Coordinates financial/registration process for cases and coordinates flow of information to appropriate departments regarding patients.
Provides notification to hospital and physician billing departments regarding admission process for patients and creates treatment specific insurance coverage in registration area of electronic medical record.
Provides information to appropriate parties to ensure patients are registered and billed correctly. Assists the billing department with appeals when requested.
Performs other related duties and projects as assigned. This job description should not be considered an exhaustive listing of all duties and responsibilities performed in this position. Our practice encourages all employees to develop personal and professional goals for themselves and will provide opportunities for continued growth and development.
Performs other duties as assigned.
Experience and Education
Bachelor’s Degree in related field.
Two (2) years insurance coordination experience in hospital environment preferred; preferably in treatment specific area.
May consider additional years of experience in lieu of education.
To learn more about the benefits UT Southwestern offers visit https://www.utsouthwestern.edu/employees/hr-resources/
This position is security-sensitive and thereby subject to the provisions of Texas Education Code §51.215.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. To learn more, please visit: why-work-here/diversity-inclusion