Patient Billing & Accounts Specialist

Boston Children's Hospital; Boston; In loco; PHP 2.638.000 - 3.518.000; Tempo pieno

Descrizione del lavoro

Boston Children’s Hospital is seeking a Patient Accounts Representative to provide high-quality, patient-centered billing support. The role involves managing patient accounts, verifying insurance, submitting claims, and collaborating with physicians and departments to resolve billing issues.

Ideal candidates have experience in hospital-based billing, familiarity with CPT codes, and strong communication skills to assist patients, families, and payers.

Competenze

• Strong attention to detail with excellent organizational skills.
• Ability to analyze and interpret routine account and billing information.
• Strong written and verbal communication skills with the ability to interact professionally with patients, families, hospital employees, and external partners.
• Ability to provide empathy and support when handling difficult patient or billing situations.
• Ability to work effectively with diverse internal and external teams.
• Strong computer skills and ability to accurately enter and retrieve information from automated systems.
• Ability to manage priorities and meet deadlines in a team-oriented environment.

Mansioni

• Verify and update patient demographic, insurance, referral, and authorization information to ensure accurate account processing.
• Confirm insurance eligibility using payer websites, available technology, and communication with third-party payers.
• Prepare and submit accurate insurance claims within required timeframes.
• Review claims for accuracy, resolve billing errors, and address claim processing issues with payers.
• Work payer scrubber and denial reports to identify and resolve outstanding insurance claims.
• Research and prepare payer appeals and provide necessary documentation to support claim payment.
• Maintain clear and accurate account notes documenting all actions taken.
• Collaborate with clinical departments, physician offices, referral/authorization teams, and other internal partners to resolve account issues.
• Monitor trends related to denials, claim errors, and payer issues and elevate concerns as appropriate.
• Maintain a working knowledge of third-party payer contracts and hospital billing processes.
• Participate in process improvement initiatives and departmental projects.

Conoscenze

Attention to detail

Organizational skills

Written and verbal communication

Empathy and patient support

Team collaboration

Computer skills

Formazione

High school diploma or GED

Strumenti

None

Descrizione del lavoro

Boston Children’s Hospital is seeking a Patient Accounts Representative to provide high-quality, patient-centered billing support. The role involves managing patient accounts, verifying insurance, submitting claims, and collaborating with physicians and departments to resolve billing issues.

Ideal candidates have experience in hospital-based billing, familiarity with CPT codes, and strong communication skills to assist patients, families, and payers.