Description

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job is responsible for performing the financial clearance along with conducting a comprehensive analysis of patient payer specific benefits and patient liability. Responsibilities include, but are not limited to, coordinating and clarifying the available financial resources for patient care; referral, consultation, evaluation, listing transplantation, and continuing after transplantation to ensure continuity of care. Additionally, this job works with other members of the transplant team, insurers, and administrative personnel at the hospital. This job ensures the best patient experience is received through timely and accurate assistance.
**Hybrid role**

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required - High School diploma or equivalent

Preferred - Bachelors' degree

Work Experience

Required - 3 years' experience in customer service, healthcare, or office experience, including insurance authorization experience

Preferred - 2 years' experience specific to a healthcare business office providing customer service, Bilingual - Ability to effectively communicate in Spanish preferred

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of required job information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout required job processes.
• Must be proficient with Windows-style applications, keyboard, and various software packages specific to role (i.e. Microsoft Word, Excel, and Powerpoint).
• Strong interpersonal skills with ability to work independently and as part of a team.
• Ability to perform effectively in a fast paced ever changing and stressful environment.
• Ability to remain calm, professional, and maintain strict confidentiality in high pressure/stressful situations regarding patient financial and medical conversations.
• Ability to organize and prioritize to ensure deadlines are met.
• Demonstrated problem solving and follow up skills with the ability to multi-task and be detailed oriented.
• Ability to provide coaching and constructive feedback.
• Ability to work with minimal supervision and makes independent decisions.
• Reliable transportation as may be required to travel to other facilities for training and meetings.
• Ability to work outside of normal working hours (i.e. nights, weekends, holidays).

Job Duties

• Serves as a liaison between the patient, providers, internal and external departments or other responsible person(s) to obtain, monitor, and update detailed insurance benefit information for all phases of the transplant process (including insurance coverage and authorizations, denials and appeals).
• Plans, organizes, and prioritizes work to discuss with patients their insurance coverage in relation to the importance of their financial responsibility. Educates the patients on various available assistance options, as well as explain the financial impact of various alternatives.
• Promptly and courteously discusses benefits and other transplant financial issues with patients or family members via face to face, e-mail, fax, regular mail correspondence, or phone call before, during, and after the transplant process(es).
• Provides Best in Class service to every patient inquiry received to ensure and maintain high levels of patient satisfaction. Must represent the Organization by providing appropriate/applicable levels of competency and professionalism to ensure all patient issues are resolved timely, accurately and efficiently.
• Participates in Transplant Team meetings, Evaluation and Listing Clinics, Patient Review Committee, Hospital Interdisciplinary Rounds, discharge planning, and Quality Assurance and Performance Improvement (QAPI).
• Provides routine support with new hire and on-going staff training/coaching for transplant staff.
• Other job duties as assigned.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is 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, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.