Chicago, Illinois, United States
Hybrid
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Manager, Financial Transplant Specialist, Transplant Cellular Therapy based in the United States.
This role offers an opportunity to lead the financial operations supporting complex transplant and cellular therapy services within an academic healthcare environment. You will oversee the financial clearance process for transplant recipients and donors, ensuring accurate insurance verification, authorization, registration, and billing throughout the care journey. Leading a team of financial transplant coordinators, you will promote operational excellence through coaching, training, and effective workload management. You will collaborate closely with clinical teams, hospital finance departments, insurance providers, patients, and donors to resolve financial and coverage challenges. The position combines hands-on financial case management with team leadership and continuous process improvement. It is primarily remote, with occasional onsite attendance required in the Chicago area.
As Manager, Financial Transplant Specialist, you will oversee transplant-related financial workflows, support your team, and help ensure accurate revenue cycle management and a positive patient experience. Your responsibilities will include:
Lead and supervise the financial transplant coordinator team, ensuring appropriate staffing, balanced workloads, and consistent service delivery.
Manage human resources responsibilities for direct reports, including recruitment, onboarding, performance evaluations, competency assessments, and ongoing performance management.
Oversee patient and work queue accounts for transplant recipients and donors, identifying and resolving billing discrepancies, incorrect transplant plan codes, coverage details, and effective dates.
Monitor patient flow and manage financial case management throughout the transplant process, including recipient, donor, and related service charges.
Review upcoming transplant schedules and verify authorizations in collaboration with clinical teams.
Address escalated insurance coverage, referral, and authorization issues, including cases requiring temporary service deferrals.
Collaborate with financial coordinators and clinical teams to appeal denied services, resolve charge disputes, address billing concerns, and arrange peer-to-peer reviews when necessary.
Oversee financial counseling workflows and communicate financial information clearly to patients, donors, families, physicians, nurses, insurance providers, and hospital staff.
Maintain accurate and timely documentation of insurance verification, pre-authorizations, and communications.
Develop onboarding programs, training materials, and ongoing learning resources focused on revenue cycle best practices.
Mentor and support team members while promoting accuracy, accountability, and continuous professional development.
Participate in leadership meetings and collaborate with hospital finance teams to improve billing practices, patient communication, workflows, and electronic medical record utilization.
Perform additional duties as assigned by senior management.
Requirements:
The ideal candidate combines extensive healthcare finance and reimbursement experience with strong leadership capabilities, advanced insurance knowledge, and a commitment to patient-centered service. The following qualifications are required:
Bachelor's degree or equivalent.
At least 8 years of experience in medical insurance verification and/or healthcare finance.
At least 10 years of related experience in healthcare registration, billing, and/or reimbursement.
Advanced understanding of financial clearance processes within a healthcare environment.
Strong knowledge of insurance authorization and registration procedures, medical terminology, and healthcare revenue cycle operations.
Proficiency in Microsoft Office and Epic systems, including Epic training and testing; experience with Phoenix for solid organ transplant candidates is also required.
Experience using insurance verification platforms such as OneSource, Availity, and Connex.
Excellent written and verbal communication skills, with the ability to interact professionally and courteously with physicians, payors, patients, and colleagues.
Strong analytical and financial assessment skills, with exceptional attention to detail and accuracy.
Ability to prioritize competing responsibilities, manage multiple projects, and maintain effective communication with all stakeholders.
Proven ability to build and maintain productive relationships with financial coordinators, clinical teams, and insurance case managers.
Strong problem-solving and conflict-resolution skills, with the ability to manage complex situations independently while fostering teamwork.
Excellent interpersonal skills, including tact, discretion, confidentiality, and sound judgment when handling sensitive patient information.
Adaptability to changing systems, processes, and operational priorities in a fast-paced healthcare environment.
Commitment to patient-centered service, operational excellence, and high-quality work.
Preferred Qualifications:
Certified Revenue Cycle Representative (CRCR) certification.
Certified Transplant Financial Coordinator (CTFC) certification.
Strong background in medical coding, billing, or financial counseling.
Benefits:
Full-time position (1.0 FTE).
Primarily remote work arrangement, with onsite attendance required approximately 2–3 days per month.
Flexible remote location, including the possibility of working outside the greater Chicago metropolitan area, with occasional onsite visits as needed.
Rotational day shift, generally scheduled from 8:00 a.m. to 5:00 p.m.
Opportunity to contribute to a specialized transplant and cellular therapy program within an academic healthcare environment.
Leadership responsibilities with opportunities to mentor and develop a dedicated team of financial transplant coordinators.
