Transplant Financial Specialist

Overview:

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

OCCUPATIONAL SUMMARY 

Responsible for billing, follow up and reimbursement functions for transplant patient accounts.

PRIMARY DUTIES AND RESPONSIBILITIES

1. Bills and follows up on global, non-global, and donor accounts based on the individual contract terms specific to each patient account.
2. Utilizes daily worklist to follow accounts through collection process. Consists of calculating expected reimbursement, contacting insurance companies through written correspondence as well as telephone calls, and working with other Business Office departments such as billing, reimbursement, etc.
3. Updates account tracking in database; tracks accounts from time of consultation through the end of the contract period or discharge from the transplant program.
4. Maintains transplant financial class population by reviewing accounts, placing accounts on hold, noting accounts and changing the financial class on accounts when appropriate.
5. Utilizes case rate letters of agreement to determine expected reimbursement, create case rate billing packages, and collect payments for case rate transplant accounts.
6. Tracks donor accounts to bill and collect from donor’s and recipient’s insurers as appropriate.
7. Reviews inactive and hold patient lists to ensure that timely billing and follow up continue.
8. Tracks and processes split billing requests.
9. Insures that departmental collection standards and expectations are communicated and executed daily.
10. Assists in training and providing support to staff as needed.

REQUIRED:

1. Two years collections or healthcare business office experience.
2. Strong computer skills-demonstrated knowledge of computer skills and software applications, including financial spreadsheet and Windows applications

PREFERRED:

1. Two years college or Associate degree or Bachelor's Degree
2. Demonstrated knowledge of hospital operations.
3. Three or more years preferred.