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Introduction
Do you want to join an organization that invests in you as a(an) Global Billing Analyst? At St. David’s HealthCare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
St. David’s HealthCare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Global Billing Analyst like you to be a part of our team.
Job Summary and Qualifications
Responsible for billing claims per transplant network contracts. Responsible for entering claims in the global billing database under the appropriate phase of transplant, identifying if claims will be paid and posted to the facility GL or directly to the provider, and calculating appropriate reimbursement if claims are paid directly to the facility. Accountable for understanding and keeping current with transplant payor contracts and provider agreements. Responsible for Reconciling BMT, CAR-T, and other large dollar Rx accounts against revenue codes to ensure the more significant charges are captured before claims are released for the final bill.
Creates patient cases in the global billing database for new patients and updates patient data information (i.e., open case date, transplant date, discharge date, closed case date, etc.) as necessary.
Maintains global payor websites with any updates to patient information regarding a change in transplant phase based on the individual global payor agreement.
Researches claims to determine if they are transplant related or medical management. For transplant related claims, they must identify the appropriate phase of transplant. If medical management claims, they must either send to insurance and label as medical management or call provider and inform them they must bill directly to insurance depending on the contract.
Must enter and identify all claims in the global billing database as either a physician or a facility claims under the appropriate phase of transplant. Identify if claims are included or excluded in case rate to calculate appropriate reimbursement of claims.
In charge of submitting claims to the appropriate insurance company based on the process outlined in each transplant contract.
Works collaboratively with providers, insurance provider relations representative and the revenue cycle center to resolve any billing/claims related issues.
Responsible for understanding and keeping current with transplant contracts.
What qualifications you will need:
1 – 3 years relevant experience
St. David’s HealthCare, which is one of the largest healthcare systems in Texas and the third-largest employer in the Austin area. St. David’s HealthCare was formed through a unique partnership between HCA Healthcare and two local non-profits — St. David’s Foundation and Georgetown Health Foundation.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
“Good people beget good people.”- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Global Billing Analyst opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
