Transplant Finance Specialist
- Assist with the development and implementation of policy and procedures for global account management.
- Identify non-transplant related services and treatment during the global period. Notify the Billing Coordinator to exclude these services from the global case rate.
- Identify revenue opportunities from new procedures and revisions in practice patterns.
- Prepare monthly and annual statistical reports on global patient population.
- Act as a liaison between Finance and Transplant to ensure accurate dissemination of information.
- Communicate and educate Department staff on contractual revisions which have operational and financial implications.
- Identify and resolve billing errors associated with transplant global and non-global accounts. Assist with insurance company appeals.
- Review invoices from physicians/vendors for global patients for appropriate inclusion in global contract rates and ensure the services are billed to appropriate subaccount.
- Re-price invoices from physician's bills to the approved IPA rates.
- Post charges for invoices received from subcontracted vendors (e.g. home health, ambulance, lab). Ensure correct charge codes and mark up amounts are applied.
- Monitor self pay donor search accounts to ensure payment is collected
- Ensure adequate funding of donor searches. Documents grant status in Patient Accounting system. Notate pending grant payments.
- High School diploma, general equivalency diploma (GED), GED equivalent programs, and/or other Vocational degrees/certificates or Medical trade school.
- Proficient with Advanced Medical Terminology.
- Knowledge of SMS, Rasi, and Epic systems.
- Proficient with Microsoft Office (excel, word).
- Knowledge of CPT transplant coding.
- Capacity to multi-task in a fast-paced environment.
- Excellent problem solving skills.
- College degree.
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