Patient Accounting Billing Specialist

About the role

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. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care.

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
• Maintains department productivity and qualitative standards
• Works account and claim edits in the hospital billing system
• Works rejections, edits and accounts in the incomplete folder in the claim scrubber system (FinThrive), consistent with the department standards
• Performs other duties as assigned

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

Qualifications

• 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.

Skills

• 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

Benefits

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Pay

$53,900.00 - $58,300.00 per year

Schedule

Remote: occasional onsite