The Transplant Financial Manager (TFM) has oversight over the direction and management of the operational and programmatic aspects of health insurance compliance activities and government health insurance regulations for the entire transplant institute including the sub-specialties under its purview.
Under the direction of the finance director of transplant, the TFM fulfills a leadership role and directly manages the entire transplant financial team, which includes but is not limited to, TFCs, TFC leads and TFC supervisors, to assure transplant patientsâ medical services are covered by insurance, patients are effectively counseled regarding their insurance plans and benefits, and proper documentation and/or insurance authorizations are in place where needed to support for an effective and efficient revenue cycle.
Minimum Education:â¢Required: HSD or GED or Associateâs Degreeâ¢Preferred: BA/BSMinimum Experience/Knowledge:â¢5+ years of financial coordination experience preferably in a transplant program or at least 3+ years in a project management or in a lead/supervisory role or capacity. â¢Broad knowledge of health insurance terminology, health insurance process and transplant process required. â¢Must have in-depth knowledge and experience of transplant finance, insurance & health plans/medical groups, transplant authorizations and the financial clearance process.â¢Proficiency in database & EMR systems (e.g. OTTR, Cerner, Trace, GECB) and in office software suites (e.g. MS Office).â¢Demonstrated ability to problem-solve and provide effective resolution. â¢Demonstrated leadership skills and ability to provide education and support to staff. â¢Ability to time-manage, high-stress environment required. Weekend and after-hours consultation as required.â¢Demonstrates advanced knowledge and experience in transplant finance and health insurance. â¢Demonstrates intermediate knowledge of OPTN/UNOS policies and the role of CMS in transplant.â¢Demonstrates excellent verbal and written skills and advanced knowledge of hospital and transplant IT systems as they relate to financial clearance and insurance.â¢must have the ability to time manage and work through a high stress environmentâ¢Must possess strong analytic skills and be able to evaluate and analyze dataâusing it to drive process improvement and impact positive change and outcomesâ¢Bilingual preferred; bilingual certified department translator strongly preferred. Required License/Certification:â¢Fire and Safety Certification. If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date (applicable to employees working within City of LA).â¢Bilingual certified strongly preferred; if bilingual certified department translator.â¢Certified Transplant Financial Coordinator (CTFC) preferred.
USC is the leading private research university in Los Angeles—a global center for arts, technology and international business. With more than 47,500 students, we are located primarily in Los Angeles but also in various US and global satellite locations. As the largest private employer in Los Angeles, responsible for $8 billion annually in economic activity in the region, we offer the opportunity to work in a dynamic and diverse environment, in careers that span a broad spectrum of talents and skills across a variety of academic and professional schools and administrative units. As a USC employee and member of the Trojan Family—the faculty, staff, students, and alumni who make USC a great place to work—you will enjoy excellent benefits, including a variety of well-being programs designed to help individuals achieve work-life balance.