Patient Accounting Billing Specialist

Dana-Farber Cancer Institute•Brookline, MA

About The Position

The selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT) The primary function of the Patient Accounting Billing Specialist I is the daily management of an assigned portion of the accounts receivable, typically allocated based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to ensure timely submission of claims in accordance with department expectations. May also perform other duties as assigned, including but not limited to, special patient accounting projects, charge entry, and cash applications. The Patient Accounting Billing Specialist I will have regular exposure to patient demographics, diagnostic, and billing information. Additionally, will be exposed to physician information including physician numbers assigned by governmental agencies and insurance carriers. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Under close supervision, the Patient Accounting Billing Specialist I: • Reviews payments and resolve unpaid balances. • Performs effective and timely collection activity on unpaid client accounts. • Reviews and resolves credit on client accounts. • Updates crossover insurance that is missing in the billing system to resolve undistributed payments. • Triage accounts to the responsible parties in the billing system to ensure claims are addressed promptly. • Updates issues grid with examples of impacted accounts. • Operates on multiple systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned. • Keeps informed on updates to billing requirements, editing, and payer policies affecting billing. • Informs supervisor of changes to billing regulations. • Meets department productivity and qualitative standards. • Works account and claim edits in the hospital billing system.

Requirements

Knowledge of third-party billing regulations, as well as of hospital and/or professional operations, and third-party payer requirements
Ability to remain in full compliance with all departmental, institutional, and regulatory policies and procedures
High degree of confidentiality
Dependable, self-starter, and deadline driven
Strong oral and written communication skills
The position requires a high school diploma, with an associate degree preferred.
Candidates must have at least 2 years of prior billing experience, and general office experience and computer skills are preferred.

Responsibilities

Reviews payments and resolve unpaid balances.
Performs effective and timely collection activity on unpaid client accounts.
Reviews and resolves credit on client accounts.
Updates crossover insurance that is missing in the billing system to resolve undistributed payments.
Triage accounts to the responsible parties in the billing system to ensure claims are addressed promptly.
Updates issues grid with examples of impacted accounts.
Operates on multiple systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned.
Keeps informed on updates to billing requirements, editing, and payer policies affecting billing.
Informs supervisor of changes to billing regulations.
Meets department productivity and qualitative standards.
Works account and claim edits in the hospital billing system.