Beth Israel Lahey Health
Patient Financial Services Specialist - Hospital Billing
Beth Israel Lahey Health, Boston, Massachusetts, us, 02298
Patient Financial Services Specialist - Hospital Billing
Join to apply for the
Patient Financial Services Specialist - Hospital Billing
role at
Beth Israel Lahey Health . Job Type:
Regular Time Type:
Full time Work Shift:
Day (United States of America) FLSA Status:
Non-Exempt Under the oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist – Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system. Job Responsibilities:
Utilize the Epic Hospital Billing System to review and monitor accounts through various work queues. Handle higher complexity accounts, including high dollar amounts and specific denial records, while maintaining productivity standards. Contact insurance carriers or responsible parties to confirm payment dates, inquire about denials, or unresolved claims. Perform billing, follow-up, and denial activities to secure payment or resolution of claims. Review accounts for proper billing, payments, adjustments, and ensure accuracy before progressing. Gather documentation for reprocessing or adjudication of claims. Escalate problematic accounts or denial trends to management within 2 days. Document all actions within the EPIC system and follow-up notes. Adhere to departmental policies and complete necessary training. Resolve complex claims and resubmit through Epic Billing System, including handling external claim edits and paper claims. Communicate unresolved issues to management promptly. Research and address incomplete or inaccurate claims information. Handle payer 277 rejections and resubmit claims, providing trend reports for management. Qualifications:
Education:
High School Diploma / GED required. Experience:
Minimum five (5) years of accounts receivable experience. Skills & Knowledge:
Attention to detail, Epic system expertise, professional communication, problem-solving, independent work ability. Preferred:
Revenue Cycle AR experience, Epic proficiency. All staff must be vaccinated against influenza and COVID-19. Additional Information:
Seniority level: Mid-Senior level Employment type: Full-time Industry: Hospitals and Healthcare
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Join to apply for the
Patient Financial Services Specialist - Hospital Billing
role at
Beth Israel Lahey Health . Job Type:
Regular Time Type:
Full time Work Shift:
Day (United States of America) FLSA Status:
Non-Exempt Under the oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist – Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system. Job Responsibilities:
Utilize the Epic Hospital Billing System to review and monitor accounts through various work queues. Handle higher complexity accounts, including high dollar amounts and specific denial records, while maintaining productivity standards. Contact insurance carriers or responsible parties to confirm payment dates, inquire about denials, or unresolved claims. Perform billing, follow-up, and denial activities to secure payment or resolution of claims. Review accounts for proper billing, payments, adjustments, and ensure accuracy before progressing. Gather documentation for reprocessing or adjudication of claims. Escalate problematic accounts or denial trends to management within 2 days. Document all actions within the EPIC system and follow-up notes. Adhere to departmental policies and complete necessary training. Resolve complex claims and resubmit through Epic Billing System, including handling external claim edits and paper claims. Communicate unresolved issues to management promptly. Research and address incomplete or inaccurate claims information. Handle payer 277 rejections and resubmit claims, providing trend reports for management. Qualifications:
Education:
High School Diploma / GED required. Experience:
Minimum five (5) years of accounts receivable experience. Skills & Knowledge:
Attention to detail, Epic system expertise, professional communication, problem-solving, independent work ability. Preferred:
Revenue Cycle AR experience, Epic proficiency. All staff must be vaccinated against influenza and COVID-19. Additional Information:
Seniority level: Mid-Senior level Employment type: Full-time Industry: Hospitals and Healthcare
#J-18808-Ljbffr