Financial Coordinator

Short Description

The financial coordinator confirms coverage for your transplant, secures prior authorizations, explains costs in plain language, and helps you avoid surprise bills.

Main Priorities

• Verify insurance eligibility and benefits for evaluation, surgery, and follow-up.
• Submit and track prior authorizations (hospital, surgeon, anesthesia, imaging, labs).
• Check coverage for anti-rejection and related medicines (specialty pharmacy if needed).
• Provide estimates of out-of-pocket costs and payment options.
• Connect you with assistance programs if you qualify.

Issues They Work With

• Plan changes, COBRA, secondary insurance, or coordination of benefits.
• Network status of facilities and providers; referrals if required.
• Medication costs, step therapy, and pharmacy routing problems.
• Billing questions and who to contact for statements or itemized bills.

When to Go to Them

• Early in the evaluation and any time your insurance or employment changes.
• If you receive a denial, high copay quote, or confusing bill.
• Before switching pharmacies or plans, so medicines stay covered without gaps.
• When planning travel/lodging for surgery and follow-up visits.

What They Don’t Handle (Boundaries)

• Medical decisions or prescriptions — handled by the clinical team.
• Scheduling tests and day-of instructions — transplant coordinator.
• Counseling and caregiver support — social worker.
• Emergency financial crises — they can connect you to resources, but not make medical changes.