Patient Financial Services Specialist-Hospital Billing

Beth Israel Lahey Health; Boston (MA); In loco; USD 30.000 - 41.000; Tempo pieno

Descrizione del lavoro

Beth Israel Lahey Health is seeking a Patient Financial Services Representative – Hospital Billing in the Charlestown area. The role focuses on timely billing and collections for inpatient and outpatient accounts across a large multi-facility system.

Responsibilities include using the Epic Hospital Billing System, managing follow-up and denial queues, and escalating complex accounts within two days. Strong communication and independent problem-solving are essential.

Competenze

• Clear oral and written communication skills required.
• Professional telephone and email etiquette expected.
• Experience with AR/Billing and payer interactions preferred.
• Ability to troubleshoot and escalate as needed.
• Proficiency with billing software and patient accounting systems.

Mansioni

• Use Epic Hospital Billing to review and monitor accounts.
• Follow up on outstanding balances and denials in assigned queues.
• Contact carriers to confirm payment dates and reasons for denials.
• Process claims, ensure proper posting and adjustments when needed.
• Gather documentation for reprocessing to maximize reimbursement.
• Document actions in EPIC notes and escalation as required.

Conoscenze

Clear communication

Professional phone etiquette

Email etiquette

Problem solving

Independent work

Formazione

High School Diploma / GED

Strumenti

Epic Hospital Billing System

Descrizione del lavoro

Charlestown, MA • Beth Israel Lahey Health • Full-time • DayWhen you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Description SummaryUnder oversight of the Department Manager & Supervisor, the Patient Financial Services Representative – Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable within assigned work queues for a large multi-facility healthcare system with future expansion anticipated to maximize reimbursement to the health system.Job Description:Utilizes the Epic Hospital Billing System to review and monitor accounts through the Billing, Denial, & Follow-Up work queuesWork assigned outstanding and denied accounts within Hospital Billing, Follow Up, & Denial work queues while maintaining established productivity requirements.Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was denied or questions why a claim was not processed for payment or denial.Performs all Hospital Billing, Follow Up, and Denial activities necessary to obtain payment/resolution of claims.Reviews entire account to ensure claims were billed properly, payments were applied correctly, and all necessary adjustments were made prior to moving to next responsible party and/or adjusting balances and removing from work queue(s).Gathers all necessary documentation needed to have claims reprocessed/adjudicated for maximum reimbursementInforms and/or transfers to management of any problem accounts that require escalation within 2 days of identificationDocuments all actions taken within the EPIC account notes section and/or follow up/denial activities note sections.Adheres to all departmental Hospital Billing, Follow up, and Denial policies and procedures/training documents.Complete necessary training sessions required for the Hospital Billing system and demonstrate good working knowledge from those sessions to successfully resolve assigned accounts within Follow Up and Denial work queuesDocument all inactive periods and make them available upon management's request.Identifies problems in Claims Edit work queue and resubmits claims through the Epic billing system.Works claims edit work queue daily and resubmit claims through the Epic billing systemWorks External claim edits from Clearinghouse and resubmits claims through the Epic billing systemHandles Paper claims processing including proper documentationCommunicates all claims/data problems that cannot be handled to the Supervisor/Manager within one (1) day of identifying the problem.Identifies and researches all incomplete or inaccurate information on claims, demonstrates proper handling and escalation as needed.Handles payer 277 rejections of accounts and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursementEducation:High School Diploma / GED RequiredLicensure, Certification & Registration:None RequiredExperience:At least two (2) years AR/Billing experience requiredSkills, Knowledge & Abilities:Clear oral and written communication.Professional telephone & email etiquette.Able to interact with insurance carriers, patients, and co-workers in a professional and helpful manner.Use of billing computer and PC skills.Problem solving and decision making skills.Able to work independentlyPreferred Qualifications & Skills:Experience in Revenue Cycle Billing & Accounts ReceivableExperience working with EPICPay Range:$22.05 – $29.68The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/DisabledJob detailsEmployment: Full-timeHours/Week: 40Shift: DayCategory: Billing, Collections, & Patient Financial ServicesPay Range: $22.05 - $29.68FLSA: Non-ExemptReq ID: JR100562