Transplant Account Specialist

Wolcott, Wood and Taylor Inc.•Chicago, IL

About The Position

The Transplant Account Specialist performs follow-up collections and denial-resolution work on open receivables for Global Transplant cases, acquisition, transplant, and post-transplant event claims. The role requires advanced analytical collection skills and experience, knowledge of global transplant billing, transplant phases, and transplant contracts, as well as complex organization, prioritization, problem-solving, and multitasking skills. The position works across revenue cycle departments to support timely and accurate reimbursement for professional services. It tracks and reconciles global transplant bundles and claims, monitors outstanding balances, resolves billing issues, coordinates payment disbursement, and pursues appeals for transplant-related claim denials. The specialist also maintains assigned Epic FUWQ duties and established productivity and quality standards.

Requirements

High school diploma or GED plus demonstrated expertise in transplant billing and global reimbursement methodologies.
At least three years of experience in physician billing and directly related accounts follow-up collection methods and procedures.
Applicable knowledge of medical terminology.
Knowledge of revenue cycle and billing office procedures in physician billing.
Exceptional professionalism, written and verbal communication, and strong customer service skills.
Basic Microsoft Word, Outlook, and Excel skills.
Ability to communicate clearly and concisely, verbally and in writing.
Comfort pursuing, rebutting, and escalating issues as appropriate.
Ability to hold oneself accountable for achieving shared professional and personal goals.
Ability to establish and maintain long-term internal customer relationships and effective working relationships with employees, patients, and external parties.
High proficiency in Microsoft Office applications, especially Microsoft Excel, and others as required.
Advanced writing skills, including concise communication, proper punctuation, correct spelling, and professionalism.

Nice To Haves

Previous Epic experience is strongly preferred.

Responsibilities

Work with Patient Access, Patient Accounting, Revenue Integrity, Coding, and Claims and Accounts Receivable departments to facilitate timely and accurate reimbursement for related professional services.
Track notification, calls for charges, collation of claims, billing, and reconciliation of global transplant bundles for professional claims.
Follow up on outstanding claim status and monitor open balances to identify issues that may prevent or delay payment.
Serve as a liaison with the UI Surgical Transplant Department Hospital Patient Accounting Office to verify patient and donor information and claims payment status.
Coordinate with the Single Billing Office Customer Service team to resolve billing issues and questions for donors and recipients.
Facilitate timely disbursement of global transplant payments to UIPG through claim reconciliation and prompt communication to hospital Patient Accounts and MSP Finance.
Track professional claim denials for transplant-related services, identify errors preventing payment, and submit appeals to ensure appropriate reimbursement.
Attend and actively participate in Transplant billing and reimbursement review meetings with revenue cycle leadership.
Maintain responsibility for assigned Epic FUWQ duties and established productivity and quality standards.
Perform other duties as assigned.