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Job Title:

Department:

Scope of Position

The Global Transplant team functions as an integral part of the Revenue Cycle. Each member serves as a financial contract case coordinator, ensuring our transplant claims are submitting timely and effectively, submitting the professional claims for various physician groups, following up with the various transplant payer agencies, and collaborating with the financial counselor and authorization teams. The global transplant representative must know unique contract details for each of our global agreements, which vary by facility and by transplant type. The position is expected to perform at a higher level taking on the combined responsibilities of hospital billing, professional billing, case reconciliation, accounts receivable, contractual understanding, and credit balance resolution.

Position Summary

The Global Transplant Revenue Cycle Specialist is responsible for end-to-end billing, follow-up, and revenue integrity activities for Global Transplant across commercial and government payers. This role serves as a billing case manager for transplant patients, coordinating complex, multi-phase billing workflows from evaluation through transplant and post-transplant periods. The position requires strong knowledge of payer contracts, bundled billing structures, clearinghouse workflows, and claims follow-up processes to ensure timely and accurate reimbursement.

Minimum qualifications

High School Diploma or GED. PC knowledge and interpersonal, verbal and written communication. Minimum 6 months experience in customer service or a healthcare environment. Bachelors Degree preferred or equivalent combination of education and experience in healthcare or physician practice preferred. Medical terminology, ICD-9 diagnosis coding and third party reimbursement experience a plus. Demonstrated ability to work in multiple Databases for management and reporting. Ability to work in self-directed manner while interacting with consumers, physicians and all medical center faculty and staff. Familiarity with OSUMC and its entities preferred. Qualified candidates may be asked to complete a pre-employment physical including a drug screen and background check.

Additional Information:

Location:

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Scheduled Hours:

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The university is an equal opportunity employer, including veterans and disability.