Billing Transplant Specialist - FT - Days - MSS

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary :

Coordinates and ensures accurate and timely billing of transplant related charges to the correct responsible parties and charge identification for the cost report, in conjunction with hospital billing. Maintains communication between Finance Department, Managed Care and Transplant department on specific patient accounting and billing issues. Acts as a liaison for transplant patient billing issues.

Responsibilities :

Monitors transplant billing activity and ensures that charges are billed accurately and in a timely mannerCreates and analyzes reports of transplant charges / payments to identify problems and recommend corrective actionsCoordinates billing and payment of pre-transplant charges to the cost reportReviews global contracts to ensure correct payment is received. Coordinates with Patient Financial Services to assure appropriate accounts are bundled including hospital and physician claims for commercial billing. Submit check requests for required percentage split of globally reimbursed claimsReviews and reconciles appropriate GL accounts to confirm that pre-transplant payments are posted to the correct account.

Competencies :

ACCOUNTABILITY, ACCURACY, ANALYSIS AND DECISION MAKING, BILLING, CUSTOMER SERVICE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements :

High School Diploma or Equivalent (Required)

Additional Job Information :

Complexity of Work : Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Required Work Experience : Two years of experience in reimbursement, transplant finance or in a healthcare field.

Working Conditions and Physical Requirements :

• Bending and Stooping = 0%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting / Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying >

75 lbs Non-Patient = 0%

75 lbs Non-Patient = 0%

Shift :

Primarily for office workers - not eligible for shift differential

Disclaimer : This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net