Transplant Provider Payment Analyst  in San Antonio, Texas, United States
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Transplant Provider Payment Analyst

San Antonio, TX, United States
Full-time  No Weekends 
Category: Admitting Registration Clerical and Scheduling • Job ID: 01588-121143

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Description

SHIFT: No Weekends
SCHEDULE: Full-time


 Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Transplant Ancillary department. Submit your application today!
Benefits:
We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.
 
Seeking a Transplant Provider Analyst to join our team. The Transplant Provider Analyst is responsible for Pre-Transplant Provider Claim & Global Provider Claim Adjudication. Responsible for acting as a liason between the Transplant Financial Department, Providers, Contract Coordinator, Transplant Clinic and Accounts Payable.  Oversight of claims process and issues from Global, Pre-Transplant & Donor Complications.  Responsible for tracking and reporting accruals for the accounting department and researching provider claim questions. Additional duties include assisting with revenue cycle and Medicare cost report activities.
 
What you will do in this role:
  • Must be able to understand general ledger for proper expensing of accounts payable in order to help with month-end reporting
  • Processes UB04, HCFA and submitted expenses for provider claim adjudication. Knowledge of hospital and professional billing standards. Ensure incoming claims are documented and filed daily for timely processing
  • Familiar with MCR payment guidelines which includes CPT, HCPCs for diagnostic testing, surgery and labs.  Responsible for investigating procedure codes for claims payment.
  • Facilitate donor complication billing and provide billing information to the providers. Researches vendor contracts and addresses inquiries regarding possible errors with processed claims.
  • Keeps accurate records of claims denials, processed claims, and accruals for accounting.  Knowledge of excel and proficient with formulas and data entry.
  • Assist in maintaining up to date and accurate pre-transplant provider contracts. Works with the contact coordinator to initiate new agreements including one time agreements as needed.
  • Proficient in understanding the phases associated with Global Reimbursement and Global Contracts.  Ensures Global provider claims are processed according to contract.
  • Ability to conduct research in a variety of systems for appropriate payment of provider claims and research of patient billing issues in both clinical and revenue cycle systems utilized for transplant.
  • Understands how to extract data from financial supporting systems.
  • Cross-trained for assisting in other financial roles within the transplant department.  

Qualifications

Education: 
  • Bachelor’s Degree in Health Administration, Business or Science or 8 years of experience in a healthcare related field.        
 
Experience: 
  • Minimum of 2 years of direct experience in revenue cycle and/or   transplant operations.
 
Be a part of an organization that invests in you. We are actively reviewing applications. Qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application today and help us raise the bar in patient care!
Methodist Hospital Specialty and Transplant has been nationally recognized for its record setting kidney, liver and pancreas transplant programs. It is home to the Texas Transplant Institute and is the largest living donor kidney transplant program in the US. According to the United Network of Organ Sharing database, the center reached a major milestone in 2019 by performing 231 living donor kidney transplants in a single year setting a new national record - that’s 65 more transplants than the second center on the list.
 
In addition to transplant care, Methodist Hospital Specialty and Transplant is a full service hospital with over 260 beds that provides specialized services for liver cancer care, emergency care, weight loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic and Bariatric Surgery Excellence by the American Society for Bariatric Surgery. Our Sexual Assault Response Team provides a compassionate environment for sexual assault survivors ages 13+, serving as a model for hospitals and agencies all over the world. Methodist Hospital Specialty and Transplant prides itself on providing the highest quality of patient care possible as proven by their consecutive Grade A scores from the Leapfrog’s Hospital Safety Grade survey and ranking in the nation’s top quartile for patient experience. For more information, please visit our website at www.sahealth.com and select Methodist Hospital Specialty and Transplant under Locations.
 
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

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