Transplant Billing Representative

As a Transplant Billing Representative, you will manage a
designated portfolio of inpatient and outpatient transplant accounts, ensuring
accurate claim preparation and timely reimbursement. Your primary
responsibilities include:

• Reviewing
  and preparing inpatient and outpatient transplant claims based on payer
  type and billing requirements
• Submitting
  claims to commercial, government, and self-pay payers in compliance with
  billing regulations and timely filing guidelines
• Editing
  claims to ensure accurate coding, documentation, and payer-specific
  requirements are met prior to submission
• Reviewing
  required documentation such as authorizations, medical records, and
  transplant-related invoices to support claim accuracy
• Managing
  assigned transplant accounts, including mid-to-high dollar balances, and
  responding to payer inquiries to support timely resolution

Salary Range: $26.79 - $38.05/hourly

We are seeking a detail-oriented individual with:

• High
  school diploma or GED; Minimum of 3 years of related hospital billing or
  collections experience, including at least 1 year in billing investigation
• Associate's
  degree in healthcare administration, finance, or a related field,
  preferred
• Knowledge
  of inpatient and outpatient hospital billing processes and claim
  submission requirements
• Ability
  to interpret payer billing rules and basic contract terms
• Working
  knowledge of UB-04 claim forms, CPT codes, HCPCS codes, and hospital
  billing data elements
• Experience
  using patient accounting or billing systems in a healthcare setting
• Proficiency
  in Microsoft Office, especially Excel and Word
• Strong
  organizational skills, attention to detail, and the ability to manage
  multiple accounts while meeting productivity expectations