Patient Financial Services Specialist - Hospital Billing

Beth Israel Lahey Health; Boston (MA); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a Patient Financial Services Specialist to join their dynamic team. This role focuses on efficient billing and collections for both inpatient and outpatient accounts, requiring expertise in the Epic Hospital Billing System. The ideal candidate will have a keen attention to detail and a strong background in accounts receivable, ensuring timely resolution of complex claims. Join a forward-thinking organization where your contributions will enhance patient financial services and improve overall operational efficiency. If you're passionate about making a difference in healthcare finance, this opportunity is for you.

Qualifications

• 5+ years of accounts receivable experience required.
• Attention to detail and problem-solving skills are essential.

Responsibilities

• Manage billing and collections for hospital accounts receivable.
• Utilize Epic system to monitor accounts and resolve claims.

Skills

Attention to detail

Epic system expertise

Professional communication

Problem-solving

Independent work ability

Education

High School Diploma / GED

Tools

Epic Hospital Billing System

Job description

Patient Financial Services Specialist - Hospital Billing

Join to apply for the Patient Financial Services Specialist - Hospital Billing role at Beth Israel Lahey Health.

Job Type: Regular
Time Type: Full time
Work Shift: Day (United States of America)
FLSA Status: Non-Exempt

Under the oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist – Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system.

Job Responsibilities:

• Utilize the Epic Hospital Billing System to review and monitor accounts through various work queues.
• Handle higher complexity accounts, including high dollar amounts and specific denial records, while maintaining productivity standards.
• Contact insurance carriers or responsible parties to confirm payment dates, inquire about denials, or unresolved claims.
• Perform billing, follow-up, and denial activities to secure payment or resolution of claims.
• Review accounts for proper billing, payments, adjustments, and ensure accuracy before progressing.
• Gather documentation for reprocessing or adjudication of claims.
• Escalate problematic accounts or denial trends to management within 2 days.
• Document all actions within the EPIC system and follow-up notes.
• Adhere to departmental policies and complete necessary training.
• Resolve complex claims and resubmit through Epic Billing System, including handling external claim edits and paper claims.
• Communicate unresolved issues to management promptly.
• Research and address incomplete or inaccurate claims information.
• Handle payer 277 rejections and resubmit claims, providing trend reports for management.

Qualifications:

Education: High School Diploma / GED required.

Experience: Minimum five (5) years of accounts receivable experience.

Skills & Knowledge: Attention to detail, Epic system expertise, professional communication, problem-solving, independent work ability.

Preferred: Revenue Cycle AR experience, Epic proficiency.

All staff must be vaccinated against influenza and COVID-19.

Additional Information:

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Industry: Hospitals and Healthcare