Transplant Billing Specialist

Job Description

Job Description

Job Title : Transplant Billing Specialist

Location : Houston, TX 77056 (Hybrid Schedule)

Industry : Healthcare / Revenue Cycle

Pay : $23 – $25 / hour

Type : Contract to Hire

Benefits : This position is eligible for medical, dental, vision, and 401(k)

About Our Client :

Addison Group is partnering with a leading healthcare organization seeking an experienced Transplant Billing Specialist . This role supports their centralized billing operations for transplant-related services. The ideal candidate will bring a strong background in complex medical billing, an understanding of payer contracts, and a passion for accuracy and efficiency within the revenue cycle process.

Job Description :

The Transplant Billing Specialist will oversee the end-to-end billing and reimbursement process for transplant cases. This position ensures claims are accurately submitted and compliant with payer requirements while maintaining detailed records and communication across internal and external teams.

Key Responsibilities :

• Prepare and submit electronic and paper transplant claims in compliance with payer and contract terms.
• Review documentation to ensure all required medical records, EOBs, and authorizations are attached prior to submission.
• Apply knowledge of bundled and global package pricing, including carve-outs and payer-specific protocols.
• Reconcile claim data and resolve billing issues to ensure timely and accurate reimbursement.
• Collaborate with payers, clinical staff, and revenue cycle teams to address claim discrepancies or denials.
• Maintain accurate and auditable billing records in alignment with departmental policies and compliance standards.
• Utilize payer portals and internal systems (such as EPIC and Availity) to verify insurance and track claim activity.
• Assist in identifying process improvements and contribute to team initiatives that enhance billing accuracy.

Qualifications :

Additional Details :

Perks :

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

IND 004-007