Patient Accounting Billing Specialist

Dana-Farber Cancer Institute; United States; Hybrid; USD 53.900 - 58.300; Vollzeit

Zusammenfassung

Dana‑Farber Cancer Institute is seeking a Patient Accounting Billing Specialist I to manage a portion of accounts receivable and support timely reimbursement for diverse payers. The role involves billing, prebilling edits, and follow‑up on balances across multiple systems in a remote with occasional onsite setting.

The ideal candidate will have a high school diploma, 2+ years of billing experience, and strong communication skills, with a keen focus on confidentiality and accuracy in a fast‑paced

Qualifikationen

• Knowledge of third‑party billing regulations and payer requirements.
• Ability to comply with departmental and regulatory policies.
• High degree of confidentiality and discretion.
• Dependable, self‑starter, deadline driven.
• Strong oral and written communication skills.

Aufgaben

• Manage assigned portion of accounts receivable and ensure timely reimbursement.
• Perform prebilling edits to support accurate submission of claims.
• Handle follow‑up on balances and collect on unpaid client accounts.
• Review and resolve payment postings and credits.
• Operate with multiple systems (Epic, FISS, Connex, Nehen, FinThrive) for inpatient/outpatient claims.
• Maintain knowledge of billing requirements and payer policies.

Kenntnisse

Billing regulations

Payer requirements

Confidentiality

Deadline driven

Communication skills

Ausbildung

High school diploma

Tools

Epic

FISS

Connex

Nehen

FinThrive

Jobbeschreibung

Category: Medical Billing /Coding

Employment Type: Full time

Work Location: Remote: occasional onsite

Salary/Pay Rate: $53,900.00 - $58,300.00 per year

Overview

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

• 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.
• Work prebilling edits in the billing and scrubber systems to ensure timely submission of claims in accordance with department expectations.
• Perform other duties as assigned, including but not limited to special patient accounting projects, charge entry, and cash applications.
• Review payments and resolve unpaid balances.
• Perform effective and timely collection activity on unpaid client accounts.
• Review and resolve credit on client accounts.
• Update crossover insurance 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.
• Update issues grid with examples of impacted accounts.
• Operate on multiple systems as assigned: Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned.
• Keep informed on updates to billing requirements, editing, and payer policies affecting billing.
• Inform supervisor of changes to billing regulations.
• Meet department productivity and qualitative standards.
• Work account and claim edits in the hospital billing system.
• Work rejections, edits and accounts in the incomplete folder in the claim scrubber system (FinThrive), consistent with the department standards.
• Perform other duties as assigned.

Organization

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.

Knowledge, Skills, and Abilities Required

• 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.

Minimum Job Qualifications

• High school diploma.
• At least 2 years of prior billing experience, and general office experience and computer skills are preferred.

Other Job Information

• Supervisory Responsibilities: None
• Patient Contact: None

Equal Opportunity Employer

Dana‑Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.