Transplant Financial Coordinator

Major Responsibilities:

• Coordinates the verification of in-network insurance coverage for applicable stem cell transplant treatment:
  • Collects necessary patient information from clinical out-patient coordinators to research insurance viability for ALGH transplant program.
  • Coordinates the collection of demographic and insurance information of siblings to be HLA-typed for potential donor match to transplant patient.
  • Coordinates confirmation between patients, in-patient and out-patient practices regarding approval of patient regarding benefits for transplant.
  • Contacts appropriate insurance companies to determine patient eligibility for transplant confirming ALGH as an approved transplant provider.
  • Provides needed clinical information to clinicians providing care for patients at physician offices or institutions.
• Coordinates retrieval of required protocol data:
  • Contributes to the design of data collection forms used by the different departments within the transplant program.
  • Coordinates retrieval and maintenance of patient records and implements process for ongoing review and compilation of records per standards.
  • Insures that information is organized and maintained confidentially per guidelines and that all events are adequately documented.
  • Demonstrates the ability to process and submit reports collaborating with regulatory bodies and within the required time frames.
  • Contributes to development and implementation of an internal computerized database for managing and analyzing program information.
  • Abstracts both internal and external data for departmental flow sheets and informational graphs.
  • Coordinates internal and external audits, including patient-specific source documentation per regulations.
  • Maintain and updates program’s Standards of Procedures (SOPs), coordinating review calendar assignments with team members.
• Plans, Coordinates and Oversees all Quality Management Activities:
  • Acts as liaison between transplant program and hospital’s Quality Management Director and Department.
  • Assists in maintaining favorable visibility of transplant program on the internet through national organizations.
  • Assists with communication and education of transplant staff, scheduling speakers, and distributing relevant materials.
  • Works with hospital’s legal and risk management departments to ensure patient safety and accurate reporting.
  • Responsible for planning and facilitating all team, committee, and quality management meetings.
  • Oversee maintenance of transplant office administration records.
  • Coordinates the provision of ongoing information for implementing protocol revisions.
• Participates in the development and implementation of the bone marrow transplant programs:
  • Actively participates in quality improvement and management programs including FACT and NMDP.
  • Explores and recommends activities aimed at improving bone marrow transplant processes.
  • Coordinates unrelated donor searches and tracks the entire search process.
  • Assists in production of both internal and external bone marrow transplant presentations.

Education/Experience Required:

• BS or BA in health related field or equivalent experience; 2 years experience in healthcare setting.

Knowledge, Skills & Abilities Required:

• Proficient in computer applications such as Word, Excel, and PowerPoint.

Physical Requirements and Working Conditions:

• Use of personal computers and printers.
• Ability to travel throughout the LGH campus and to off-campus offices.
• Ability to act quickly during eligibility, plan of care modification, and serious adverse event processes.
• Ability to work in a fast-paced environment with established time constraints.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.