Transplant Billing Representative

Description As a Transplant Billing Representative, you will manage a designated portfolio of inpatient and outpatient transplant accounts, ensuring accurate claim preparation and timely reimbursement. Your primary responsibilities include: Reviewing and preparing inpatient and outpatient transplant claims based on payer type and billing requirements Submitting claims to commercial, government, and self-pay payers in compliance with billing regulations and timely filing guidelines Editing claims to ensure accurate coding, documentation, and payer-specific requirements are met prior to submission Reviewing required documentation such as authorizations, medical records, and transplant-related invoices to support claim accuracy Managing assigned transplant accounts, including mid-to-high dollar balances, and responding to payer inquiries to support timely resolution Salary Range: $26.79 - $38.05/hourly Qualifications We are seeking a detail-oriented individual with: High school diploma or GED; Minimum of 3 years of related hospital billing or collections experience, including at least 1 year in billing investigation Associate's degree in healthcare administration, finance, or a related field, preferred Knowledge of inpatient and outpatient hospital billing processes and claim submission requirements Ability to interpret payer billing rules and basic contract terms Working knowledge of UB-04 claim forms, CPT codes, HCPCS codes, and hospital billing data elements Experience using patient accounting or billing systems in a healthcare setting Proficiency in Microsoft Office, especially Excel and Word Strong organizational skills, attention to detail, and the ability to manage multiple accounts while meeting productivity expectations

Created: 2026-03-05