Transplant Finance Specialist

: Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Transplant Finance Specialist is responsible for interpreting and applying complex global contract terms to ensure accurate billing and compliance. Responsibilities: A day in the life of a Transplant Finance Specialist at Hackensack Meridian Health includes:

• 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.

Qualifications: Education, Knowledge, Skills and Abilities Required:

• 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.

Education, Knowledge, Skills and Abilities Preferred:

• College degree.