Location: Austin, TX
Facility: Dell Children's Medical Center
Department/Specialty: Stem Cell Transplant
Schedule: Day Shift | Monday - Friday 8:00a - 5:00p
How you'll make an impact in this role:Execute Strategic Financial Clearance: Direct the end-to-end financial clearance process for high-value heart, bone marrow, and kidney transplant portfolios, guaranteeing 100% benefit optimization prior to clinical milestones.
Master High-Stakes Insurance Negotiations: Architect and secure complex Single Case Agreements (SCAs) and navigate elite transplant payer networks to eliminate out-of-network operational barriers.
Serve as an Interdisciplinary Financial Liaison: Act as the primary administrative conduit bridging transplant surgeons, clinical coordinators, social workers, insurance case managers, and payer medical directors.
Provide Compassionate Patient Financial Counseling: Educate patients and their support systems on long-term insurance nuances, life-long immunosuppressant drug financial expectations, and targeted out-of-pocket liabilities.
Orchestrate Socioeconomic Assistance Capture: Proactively screen and enroll eligible patients into state Medicaid, Supplemental Security Income (SSI), institutional charity care, and specialized pharmaceutical copay assistance programs.
Drive Denial & Appeals Mitigation: Meticulously track, audit, and troubleshoot front-end insurance denials, partnering with clinical teams to draft high-priority appeals and protect the program's bottom line.
Enforce Data & Regulatory Integrity: Maintain precise documentation of all clearance statuses, authorization thresholds, and institutional metrics within the EMR in strict alignment with CMS and UNOS financial regulations.
Education:
Specialized Financial Navigation Tenure: 3+ years of progressive experience in complex healthcare financial coordination, high-dollar pre-determination, or specialized insurance case management.
Payer Landscape Command: Deep, functional expertise navigating commercial insurance policies, managed care networks, state Medicaid protocols, and intricate prior authorization mechanisms.
Transplant Program Acumen (Preferred): Prior direct experience operating within a solid organ or bone marrow transplant program is highly desirable.
High-Velocity Caseload Management: Proven critical-thinking and problem-solving skills necessary to drive multiple high-priority, life-dependent cases forward in a high-volume, regulated setting.
Education: High school diploma or GED required; Bachelor’s degree in Healthcare Administration, Finance, or a related field is preferred.
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer:Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
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E-Verify statement
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.
Benefits:Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.