Healthcare Billing Specialist - Revenue Cycle & Denials

Boston Scientific; Honolulu (HI); Vor Ort; USD 44.000 - 65.000; Vollzeit

Zusammenfassung

Boston Scientific is seeking an Onsite Accounts Receivable professional in Houston, United States, responsible for handling pre‑ and post‑sales billing functions and interfacing with patients, clinics, and insurers. The role focuses on end‑to‑end revenue cycle activities and data maintenance within a healthcare billing environment.

The position emphasizes adherence to regulations, timely filing, and resolving denials through accurate documentation and appeals.

Qualifikationen

• 1 year of experience with an associate degree, or an equivalent combination of education and work experience.
• Subject to a drug test as a pre-employment requirement for this safety-sensitive position.

Aufgaben

• Maintain a complete collection of accounts receivable for the area of expertise.
• Follow accounts through the revenue cycle, from charge review, claim edits, claim submission, and follow-up with third-party payers and patients to facilitate prompt resolution of outstanding account balances.
• Resolve claim edits via claim edit work queues and/or external billing software.
• Review charges to ensure accurate filing to the correct guarantor.
• Analyze and reconcile denied payment transactions.
• Compile and file all information needed to appeal denials.
• Follow federal and state regulations to ensure compliance standards are met.
• Monitor timely filing requirements on claims and appeals.
• Follow-up with contracted payers to secure payments on outstanding balances.
• Evaluate third‑party payments to ensure accuracy relative to contract language (underpayment/overpayment).

Kenntnisse

Accounts receivable

Revenue cycle

Claim edits

Ausbildung

Associate degree

Jobbeschreibung

Boston Scientific is seeking an Onsite Accounts Receivable professional in Houston, United States, responsible for handling pre‑ and post‑sales billing functions and interfacing with patients, clinics, and insurers. The role focuses on end‑to‑end revenue cycle activities and data maintenance within a healthcare billing environment.

The position emphasizes adherence to regulations, timely filing, and resolving denials through accurate documentation and appeals.