1. Insurance Eligibility and Verification of Transplant Cases
   • Works with the Manager, Transplant and Special Programs Contract Operations and Transplant Financial Coordinator to check insurance eligibility and benefits for all transplant cases on a monthly basis and when new phases of care begin. Provides completed insurance verification and benefit summary forms for all commercial plans for active and post-transplant patient cases.
2. Coordination of PCMG and External Purchased Services Claims
   • Prints and distributes incoming facsimiles received from external vendors and purchased services partners for both accounts receivable phasing and account payable processing and maintains a seven (7) day turnaround to the Transplant Reimbursement team members. Phases all incoming transplant claims by component for PCH and PCMG
3. Transplant Financial Database Tracking and Posting
   • Performs data entry into the Transplant Financial Database of patient case charges, payments and adjustments along with posting PCMG, PCH and purchased services claims.
4. Monitoring and Tracking Active Transplant Cases
   • Reviews and checks weekly all active transplant cases for current authorizations by component or phase of care. Provides the Transplant Financial Coordinator with a list.
5. Performs miscellaneous job related duties as requested.

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable