What are the responsibilities and job description for the Financial Transplant Billing Specialist position at ECU Health?
Position Summary
The Transplant Financial Billing Specialist manages financial processes for organ acquisition in solid organ transplant programs collaboratively with finance and transplant. Responsibilities include ensuring regulatory compliance, overseeing procurement-related workflows, optimizing billing and reimbursement, reviewing transplant evaluation claims, and serving as a liaison between transplant services, finance, and managed care.
Responsibilities
Financial Review
$21.96 - $32.01
Other Information
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
The Transplant Financial Billing Specialist manages financial processes for organ acquisition in solid organ transplant programs collaboratively with finance and transplant. Responsibilities include ensuring regulatory compliance, overseeing procurement-related workflows, optimizing billing and reimbursement, reviewing transplant evaluation claims, and serving as a liaison between transplant services, finance, and managed care.
Responsibilities
Financial Review
- Review of financial activities related to organ acquisition.
- Ensure proper billing for organ acquisition charges.
- Monitor, reconcile and report organ acquisition costs and donor-related charges.
- Review accounts for accuracy, including adjustments, write-offs and payment posting.
- Collaborate with inpatient and outpatient revenue cycle teams to ensure timely and accurate billing for organ acquisition and transplant services.
- Maintain compliance with hospital and payer policies regarding organ acquisition billing.
- Develop and maintain workflows to prevent claim denials and maximize reimbursement.
- Partner with the managed care contracting to ensure accurate reimbursement and contract language for transplant services.
- Track and manage payment of bundled billing accounts ensuring proper payments received.
- Ensure adherence to United Network for Organ Sharing (UNOS) and the Organ Procurement and Transplantation Network (OPTN) guidelines, CMS regulations regarding transplant billing and organ acquisition.
- Maintain audit-ready documentation and respond to internal or external audits.
- Prepare regular financial reports and dashboards related to organ acquisition costs, write-offs, collections and reimbursement trends.
- Partner with transplant leadership to support budget planning, cost analysis and financial forecasting.
- Serve as the subject matter expert for organ acquisition financial management.
- Collaborate with clinical, finance, revenue cycle and managed care to ensure seamless integration of financial and clinical workflows.
- Provide education and guidance to staff on organ acquisition billing, payment policies and compliance requirements.
- Bachelor's degree in finance, Accounting or Healthcare Administration is preferred.
- Minimum of three (3) years of healthcare finance, preferably in transplant or complex surgical programs is required.
- Strong knowledge of hospital billing, organ acquisition processes and payer reimbursement policies is required.
- Experience with revenue cycle systems (Epic, Meditech or equivalent) is preferred.
- Exceptional analytical and problem-solving abilities.
- Strong communication and collaboration skills with the ability to interact with clinical, administrative and contracting teams.
- Knowledge of regulatory compliance, UNOS/OPTN guidelines and CMS transplant billing requirements.
- Proficiency in Excel, financial reporting tools, and healthcare financial systems.
$21.96 - $32.01
Other Information
- Hybrid role (based out of Greenville, NC)
- Monday - Friday day shift
- Great Benefits
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
Salary : $22 - $32