Responsible for reviewing pre-evaluation and global service agreements, analyzing provider payments, handling provider inquiries, and maintaining customer relations.
Oversees analysis of insurance contract payments and disbursements for insurance and PSA contracts, including transplant account reimbursement and Medicare cost report activities.
Works with global reimbursement, contract interpretation, claims processing, payment discrepancies, and financial reporting for transplant-related accounts.
Bachelor’s degree or 4 years of equivalent experience.
Minimum of 2 years of direct experience in hospital revenue cycle and/or transplant operations.
Must understand hospital and professional billing standards, UB04 and HCFA claim processing, CPT/HCPCS coding for diagnostic testing, surgery, and labs, and provider claim adjudication.
Required skills include Excel proficiency, formulas, data entry, financial reporting, researching contracts and claims across systems, and maintaining accurate records of denials, processed claims, and accruals.
Must be able to work collaboratively with providers, insurance representatives, and revenue cycle teams.
Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
Wellbeing support, including free counseling and referral services.
Paid time off, paid family leave, short-term and long-term disability, and leaves of absence.
401(k) plan with employer match, employee stock purchase plan, flexible spending accounts, banking partnerships, retirement tools, and financial counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and nursing education partnership.
Additional fertility and family-building support, adoption assistance, life insurance, supplemental health protection, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
Location
Austin, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago