Transplant Account Specialist

Wolcott, Wood and Taylor•Chicago, IL

About The Position

The Transplant Account Specialist performs follow-up collections and denial-resolution activities for open receivables related to Global Transplant cases, acquisition, transplant, and post-transplant event claims. The role requires advanced analytical collection skills and experience with global transplant billing, transplant phases, and transplant contracts, as well as strong organization, prioritization, problem-solving, and multitasking abilities. The specialist works across revenue cycle teams to facilitate timely and accurate reimbursement for professional services. The role coordinates global transplant bundle billing and reconciliation, monitors claim status and open balances, resolves billing issues, pursues denied claims and appeals, and supports the disbursement of global transplant payments. The position also maintains assigned Epic FUWQ duties and meets 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 customer service skills.
Basic Microsoft Word, Outlook, and Excel skills.
Strong organization, prioritization, problem-solving, and multitasking skills.
Ability to communicate clearly and concisely, verbally and in writing.
Comfort pursuing, rebutting, and escalating issues as appropriate.
Ability to maintain effective working relationships with employees, patients, and external parties.
Advanced writing skills, including concise communication, correct punctuation and spelling, and professionalism.
Proficiency with Microsoft Office applications, especially Microsoft Excel.

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 support timely and accurate reimbursement for related professional services.
Track notification, call for charges, claim collation, 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.
Liaise with the UI Surgical Transplant Department Hospital Patient Accounting Office to verify patient and donor information and claim 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 communication with hospital Patient Accounts and MSP Finance.
Track professional claim denials for transplant-related services, identify payment-preventing errors, and submit appeals to support appropriate reimbursement.
Attend and participate in transplant billing and reimbursement review meetings with revenue cycle leadership.
Perform assigned Epic FUWQ duties and meet established productivity and quality standards.
Perform other duties as assigned.