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Revenue Cycle HB Global Transplant Manager
- Posted: April 10, 2024
- Salary:US$39.42 - US$48.07 per year
- Location:Chicago
- Job type: Contract
- Discipline:Revenue Cycle
- Reference:220684_1712755755
- Work Location:Hybrid
Job description
- Manages Transplant Billing, Follow-up and denial processes
- Monitors and manages transplant event service billings as well as package billings and collections
- Maintains timely notification, collection, and bundle submission for global transplant claims
- Compile and reconcile both hospital and physician claims for global contracts
- Ensures timely resolution and escalation with payers, working collaboratively to organize administrative and clinical payer appeals, and in receiving timely payments
- Timely and accurate global case rate transfers to the UIC Physician Group. Responsible for the calculation of hospital/physician case rate split as per administrative policy or agreement
- Manages the HB Gift of Hope Process
- Evaluates and modifies procedures as necessary to optimize performance
- Evaluates and monitors staff performance using Epic Revenue Cycle system and quality reviews
- Acts as a point of escalation for payment issues for staff, Dir. of Revenue Recovery or PA department
- Compile monthly reports of outstanding transplant status and payments
- Monitors and follows up on claims not paid in a timely manner
- Monitors the HB Transplant Acquisition CLIENT accounts for errors and outstanding balances
- May collaborate with the Revenue Recovery unit for underpayment projects or payer billing issues
- Integrates new industry transplant requirements into related processes to ensure compliance. Educates staff on application and execution.
- Provide feedback when requested to Finance, Transplant, or any other Revenue Cycle entity.