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Medical Billing Associate

PublishedPublished: 6/14/2022
Healthcare

Job Description

Job Description

SUMMARY

This position focuses on overseeing transplant-related accounts receivable and supporting clinical data coordination across all phases of the transplant process. The role requires strong familiarity with transplant workflows, payer expectations, and reimbursement structures to ensure accuracy, compliance, and timely revenue capture. Individuals in this role work closely with both clinical and financial teams to streamline billing, resolve discrepancies, and support overall program efficiency.

RESPONSIBILITIES

  • Oversee transplant accounts receivable processes, ensuring accurate tracking and follow-up across all case stages
  • Review and interpret payer contracts, case rates, and reimbursement structures to support proper billing practices
  • Prepare and submit transplant-related documentation and packets in alignment with payer requirements
  • Investigate and resolve denials, discrepancies, and outstanding balances through detailed analysis and follow-up
  • Perform reconciliations and validate financial data to ensure alignment with contracts and clinical activity
  • Collaborate with internal teams to ensure complete and accurate documentation throughout the transplant lifecycle
  • Monitor payer policies and update processes to remain compliant with evolving requirements

QUALIFICATIONS

  • Experience supporting transplant billing, collections, or related healthcare revenue cycle functions
  • Strong understanding of transplant workflows including evaluation, procedure, and follow-up phases
  • Familiarity with case rate structures, contract interpretation, and denial management
  • Knowledge of transplant services such as solid organ, bone marrow, or similar specialty areas preferred
  • Analytical mindset with strong attention to detail and problem-solving ability
  • Ability to work cross-functionally with clinical and financial stakeholders

BENEFITS

  • Opportunity to work in a highly specialized and impactful area of healthcare
  • Exposure to complex reimbursement models and advanced revenue cycle processes
  • Collaborative environment with clinical and financial professionals
  • Ability to build expertise in niche transplant programs and payer strategies
  • Strong potential for career growth within healthcare finance and operations

Company DescriptionWith over thirty-five years of Recruiting, Staffing and HR Consulting experience providing nationwide service to many of the largest organizations in the country, Spectrum has achieved a level of experience and expertise that benefits our clients, candidates and contractors. Through an in depth analysis of our client’s organization, we develop an understanding of the skills and experience required for the successful candidate or contractor.

EXPERTISE:
Our Staffing Consultants are specialists in Human Resources, Scientific/Medical Device, Engineering, Insurance and Business Operations placement.

STAFFING OPTIONS:
Spectrum offers a number of staffing options including, Direct Hire, Contract, Temp, Retained Search, Recruiting Process Outsourcing (RPO) and Pay-Rolling (Payroll Transfer).

CANDIDATE COMMITMENT:
Spectrum is committed to working with the top candidates and contractors in the country and developing a working relationship with them to secure the career opportunities that will match their skills, experience and personal aspirations.

OPEN POSITIONS:
To apply online for our career opportunities go to our job board. www.spectrumstaffingusa.com

SPECIALTIES:
Areas of specialization include: Human Resources, Scientific/Medical Device, Engineering, Insurance and Business Operations placement.

Company Description

With over thirty-five years of Recruiting, Staffing and HR Consulting experience providing nationwide service to many of the largest organizations in the country, Spectrum has achieved a level of experience and expertise that benefits our clients, candidates and contractors. Through an in depth analysis of our client’s organization, we develop an understanding of the skills and experience required for the successful candidate or contractor. \r\n\r\nEXPERTISE: \r\nOur Staffing Consultants are specialists in Human Resources, Scientific/Medical Device, Engineering, Insurance and Business Operations placement. \r\n\r\nSTAFFING OPTIONS: \r\nSpectrum offers a number of staffing options including, Direct Hire, Contract, Temp, Retained Search, Recruiting Process Outsourcing (RPO) and Pay-Rolling (Payroll Transfer).\r\n \r\nCANDIDATE COMMITMENT: \r\nSpectrum is committed to working with the top candidates and contractors in the country and developing a working relationship with them to secure the career opportunities that will match their skills, experience and personal aspirations.\r\n\r\nOPEN POSITIONS:\r\nTo apply online for our career opportunities go to our job board. www.spectrumstaffingusa.com\r\n\r\nSPECIALTIES: \r\nAreas of specialization include: Human Resources, Scientific/Medical Device, Engineering, Insurance and Business Operations placement.

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