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    Revenue Cycle HB Global Transplant Manager - Chicago, United States - Medix

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    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.


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