CCMC Transplant Coordinator (Patient Account Coordinator 1)

Oregon Health & Science University; Portland (OR); Hybrid; USD 42.000 - 57.000; Vollzeit

Benefits dieser Stelle

Healthcare coverage 100%

Term life insurance $50K

Two pension plans to choose from

Vacation up to 200 hours/year

Sick leave 96 hours/year

9 paid holidays/year

Transit discounts

Zusammenfassung

Oregon Health & Science University is seeking a CCMC Transplant Coordinator (Patient Account Coordinator 1) in a hybrid US-based role. You will manage transplant billing, AR aging, and patient/account follow-up while coordinating with multiple departments.

Three years of transplant billing experience and CRCS certification within 18 months are required; EPIC HB Resolute and MS Office skills are preferred. Regular Monday-Friday schedule with some in-office days.

Qualifikationen

• 3 years of recent medical billing/collection experience.
• Experience with hospital UB-04 claims.
• Ability to interpret managed care contracts.
• CRCS certification due within 18 months of hire.

Aufgaben

• Manage specialized transplant billing, claims, and follow-up with payers.
• Coordinate with PB to submit combined invoices during global billing periods.
• Proactively contact third parties to collect due amounts.
• Analyze accounts for COB, refunds, and denials; obtain medical records as needed.
• Communicate progress and trends to Revenue Cycle leadership.

Kenntnisse

Communication skills

Detail orientation

Ausbildung

CRCS certification

Tools

EPIC HB Resolute

Microsoft Word

Microsoft Excel

Jobbeschreibung

CCMC Transplant Coordinator (Patient Account Coordinator 1)

US--Hybrid

Requisition ID: 2026-42016

Position Category: Hospital/Clinic Support

Job Type: AFSCME union represented

Position Type: Regular Full-Time

Posting Department: Patient Business Services

Posting Salary Range: $30.34 - $41.02 per hour, with offer based on experience, education and internal equity

Posting FTE: 1.00

Posting Schedule: Monday - Friday

HR Mission: Central Services

Drug Testable: No

Department Overview

Responsible for the complete billing, adjustment processing, follow-up, and collection of complex Transplant accounts to ensure timely and accurate reimbursement to University Hospital. This specialized role requires independent management of the entire revenue cycle for high-dollar, high-risk transplant cases, including detailed analysis of accounts, identification of payment barriers, development of resolution strategies, and coordination with multiple internal and external stakeholders.

Function/Duties of Position

Billing

• Manage the specialized billing, claim editing, and follow-up for Transplant claims to ensure accurate, timely, and compliant submission to CCMC payers.
• Coordinate closely with Professional Billing (PB) to prepare and submit combined invoices and claims during the global billing period.

Third party follow-up and collection

• Within the stratified processing environment, collect assertively and proactively money due OHSU by contacting (through telephoning, emailing, and/or accessing on-line systems) third parties (insurance carrier, various government programs, etc.)
• Provide explanation of charges and additional requested information to the third parties.
• Analyze accounts to determine coordination of benefits, refunds, and denials to insure appropriate resolution of accounts.
• Review billing to determine medical records necessary to provide complete processing of claim.
• Analyze accounts with regard to billing and payment history and uses judgment to determines appropriate follow-up action based on departmental guidelines.
• Contact patient/guarantor to resolve issues (includes tracing and locating patient/guarantor by telephoning and/or sending written correspondence.)
• Analyze accounts and interpreting contracts that dictate how claims should be paid and processing adjustments for contract interpretation.
• Comply with special billing and follow-up requirements regarding adoptions, court holds, motor vehicle and personal injury accidents, and other unique or sensitive accounts.
• Prepare the appeals for selected denials.

AR Oversight

• Monitor AR aging and performance through regular reporting and data analysis.
• Identify systemic issues and proactively escalatethe bank with payers to resolve barriers to payment.
• Communicate progress, challenges, and trends to Revenue Cycle leadership, Contracting, and clinical departments to support timely resolution and continuous improvement.

Other duties as assigned.

Required Qualifications

• 3 years of recent medical collection and/or billing experience.
  • Work experience must have occurred within 5 years of hire date.
• Experience in hospital billing and/or UB-04 claims.
• Knowledge of and experience in interpreting managed care contracts.
• Certified Revenue Cycle Specialist (CRCS) is required within 18 months ofhire.

Preferred Qualifications

• Knowledge of and experience in interpreting managed care contracts.
• Familiarity with DRG, CPT, HCPC and ICD-9 coding.
• Recent (within one year of date of hire) Microsoft Office Suite experience in Windows environment with skill in document production using WORD, spreadsheet construction in EXCEL.
• EPIC certification in HB Resolute preferred.
• Typing at or above 45 wpm.
• Ability to use multiple system applications.
• Demonstrated ability to communicate effectively verbally or in writing.

Additional Details

Monday through Friday.1 day per week in office, otherwise remote position.Deal with hostile, grieving, or angry people on a daily basis.

Benefits

• Healthcare for full-time employees covered 100% and 88% for dependents.
• $50K of term life insurance provided at no cost to the employee.
• Two separate above market pension plans to choose from.
• Vacation - up to 200 hours per year dependent on length of service.
• Sick Leave - up to 96 hours per year.
• 9 paid holidays per year.
• Substantial Tri-Met and C-Tran discounts.
• Employee Assistance Program.
• Childcare service discounts.
• Tuition reimbursement.
• Employee discounts to local and national businesses.

Equal employment opportunity, including veterans and individuals with disabilities.

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