- Comprehensive working knowledge of medical/professional billing
- Knowledge of CPT, HCPCS, and ICD-10 coding principles.
- Knowledge of Epic or related professional billing software
- Demonstrates proficiency in the use of excel documents
- Ability to define problems, collect data, establish facts, draw reasonable conclusions and/or make recommendations.
- Capacity to analyze and think creatively and weigh alternatives.
- Demonstrates attention to detail & organizational skills.
- Demonstrates skills with multitasking.
-
Billing Specialist
1 week ago
Specialized Recruiting Group Boston, United StatesWe are assisting an AMLAW firm in Boston who is looking for a new Billing Specialist. Assist attorneys with the preparation of bills for clients, ensuring that the client bills are processed timely and in accordance with the client agreement. The Billing Specialist answers billin ...
-
Billing Specialist
3 weeks ago
LHH Boston, United StatesLHH is working on behalf of our fantastic client in Boston, Massachusetts who has an immediate Billing Specialist staffing need. The ideal candidate has previous legal billing experience smaller law firm, and is comfortable communicating with people at all levels of the firm. The ...
-
Billing Specialist
2 weeks ago
Sullivan & Worcester LLP Boston, United StatesJob purpose · The individual will be primarily responsible for processing billing requests for attorneys in our Boston office. · Duties and responsibilities · Print and distribute monthly and on-demand pre-bill reports to billing attorneys and others as requested. · Review and ed ...
-
Billing Specialist
1 week ago
Creative Financial Staffing Boston, United StatesCreative Financial Staffing is partnered with an international law firm looking to add a Billing Specialist to their Boston team. · Why work here:Established in the Boston area over 70 years ago, they offer a variety of legal services · Our client has a large team of legal prof ...
-
Billing Specialist
1 week ago
Sidley Austin Boston, United StatesSummary · The Billing Specialist assists attorneys with the preparation of bills for clients, ensuring that the client bills are processed timely and in accordance with the client agreement. The Billing Specialist answers billing questions and researches billing related issues, p ...
-
Billing Specialist
2 weeks ago
WiseTech Global Boston, United StatesWiseTech Global is the world's leading provider of software for the logistics industry. From emerging freight forwarders to established leaders like DHL and FedEx, our software solutions allow them to maintain truly resilient supply chains. · We're looking for a Billing Speciali ...
-
E-Billing Specialist
4 weeks ago
LHH Boston, United StatesLHH is working on behalf of our fantastic client in Boston, Massachusetts who has an immediate E-Billing Specialist staffing need. This role is in the office 5 days/week. · RESPONSIBILITIES: · Perform daily billing activities to support attorneys, and clients. · Ensure timeliness ...
-
Senior Billing Specialist
2 days ago
Klaviyo Boston, United StatesAt Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot at success and appreciate the experiences each person brings beyond the traditi ...
-
Revenue Billing Specialist
3 days ago
Marsh & McLennan Companies, Inc. Boston, United States OTHERMarsh McLennan is seeking candidates for the following position based in the Boston office: · Revenue Billing Specialist · What can you expect? · Support Partners of the firm on revenue recognition details and invoicing to clients. You will reach out to evaluate the completion st ...
-
Billing Specialist
1 week ago
Atrium Staffing Boston, United StatesOur client is a leading law firm in the Boston area. They are looking for a Billing Specialist to join their team. If you are looking for a position with great culture, work-life balance, and growth opportunity, then this is the position for you · Salary/Hourly Rate: · $55k - $ ...
-
Billing Specialist
1 week ago
Creative Financial Staffing Boston, United StatesCreative Financial Staffing is partnered with an international law firm looking to add a Billing Specialist to their Boston team. · Why work here: · Established in the Boston area over 70 years ago, they offer a variety of legal services · Our client has a large team of legal p ...
-
Billing Specialist
1 week ago
Beacon Hill Boston, United StatesTo Apply for this Job Click Here · Billing Specialist · Our client, a global investment firm, is seeking a Billing Specialist to join their team through the end of the year This will be a hybrid working schedule in Boston, MA. The ideal candidate will have some experience withi ...
-
Billing Specialist
1 week ago
Ascension Global Staffing & Executive Search Boston, United StatesJob Description · Job Description · Ascension Global Staffing & Executive Search, a Hispanic Women Owned & Operated National Recruiting Firm stands at the forefront of innovation and excellence. Led by a visionary team with a deep commitment to diversity and inclusion, our firm ...
-
AR/Billing Specialist
2 weeks ago
Insight Global Boston, United StatesJob Responsibilities: · Understand AR and billing processes. · Troubleshoot and solve process issues. · Provide backup for month-end close processes and AR Reconciliations. · Respond timely to inquiries, researches, and resolves discrepancies. · Execute multiple projects and ...
-
Billing Specialist
1 week ago
Klaviyo Boston, United StatesAt Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot at success and appreciate the experiences each person brings beyond the traditi ...
-
Ar/Billing Specialist
1 week ago
Insight Global Boston, United StatesJob Responsibilities: · Understand AR and billing processes. · Troubleshoot and solve process issues. · Provide backup for month-end close processes and AR Reconciliations. · Respond timely to inquiries, researches, and resolves discrepancies. · Execute multiple projects and ...
-
Billing Specialist
1 week ago
Sullivan & Worcester Boston, United StatesJob purpose · The individual will be primarily responsible for processing billing requests for attorneys in our Boston office. · Duties and responsibilities · Print and distribute monthly and on-demand pre-bill reports to billing attorneys and others as requested. · Review and ...
-
Revenue Billing Specialist
3 weeks ago
Beth Israel Lahey Health Boston, United StatesWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · Job Type: · Regular · Scheduled Hours: · 40 · Work Shift: · Day (United States of America) · The Billing Specialist role specializes in high dollar claims, ag ...
-
Medical Billing Specialist
1 week ago
TalentBurst Boston, United StatesJob - · Medical Billing Specialist (Dental) · Location – Boston, MA · Work Schedule: 40 hours/week · Duration – 3+ Months with possibility for conversion · Help with the day to day billing operations. Answer incoming billing calls and emails. Sort through Dental denied claims ...
-
Physician Billing Specialist
3 weeks ago
Children's Hospital Boston Boston, United States74438BRJob Posting Title:Physician Billing SpecialistDepartment:Shared Service CenterAutoReqId:74438BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:This Physician Billing Specialist will be responsible for:+ Engaging patients or gu ...
Revenue Integrity Billing Specialist - Boston, United States - Beth Israel Lahey Health
Description
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:
Regular
Scheduled Hours:
40
Work Shift:
Day (United States of America)
The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to professional billing. This role is responsible to maintain provider profiles in Epic for correct revenue flow of charges and billing. The Billing Specialist will be responsible for charge and claim review to ensure correct information is on file for charge to post and bill appropriately. The Billing Specialist will work directly with Service Line Directors, Finance Directors, Practice Managers and Provider Enrollment teams within BILH to obtain required information. The Billing Specialist will educate Directors & Managers on workflows to help optimize revenue flow and prevent denials downstream for assigned areas. The Billing Specialist will also work enrollment related issues and serve as the primary liaison to the appropriate departments and teams to correct these issues in a timely manner. This role requires attention to detail, logical thinking, analysis of root cause issues, and knowledge of claim requirements for professional billing.
Job Description:
Essential Duties & Responsibilities including but not limited to:
1. Responsible to work and resolve all front-end related work queues. Reviews and completes continuous daily work queue volume for provider & enrollment related edits.
2. Research & request required updates to the Epic SER and initiates rebilling or denials explanation back to appropriate billing teams. Outreach to the appropriate stakeholders to obtain necessary information for SER updates.
3. Responsible to work claim rejections due to provider, enrollment, NPI or taxonomy related issues returned by the payor preventing claims submission or causing payor denials.
4. Responsible to work and respond to all customer service inquiries in regards to provider enrollment related patient accounts.
5. Works with various departments throughout the organization and insurance carriers to resolve issues related to provider, enrollment, NPI or taxonomy related issues.
6. Works with Hospital, Professional and Coding Teams when identifying trends that can lead to inappropriate billing or revenue posting incorrectly.
7. Working in a SBO (Single Billing Office), environment the Revenue Integrity Billing Specialist will need to have knowledge in Hospital and Professional Billing in order to assist with questions and accurate routing of charges.
8. Proactively identifies problems and opportunity for improvements related to system usage, training and end user education, practice and user trends and makes recommendations to the PB Management Team.
9. Assists in the development of reporting mechanisms to identify trends and track so that education can be performed to reduce and/or resolve high dollar/high volume values.
10. Completes all assignments per the turnaround standards. Reports unfinished assignments to the Manager.
11. Attends meetings and serves on committees as requested.
12. Achieves exemplary audit results and consistently exceeds productivity standards.
13. Provides and promotes ideas geared toward process improvements within the Central Billing Office.
14. Independently works on the resolution of complex claims issues, denials and appeals.
15. Completes projects and research as assigned.
16. Responsible for the mentoring and training of new and existing staff as it related to enrollment, NPI, SER and taxonomy following policy and procedures.
Secondary Functions:
17. Enhances professional growth and development through in-service meetings, education programs, conferences, etc.
18. Complies with policies and procedures as they relate to the job.
19. Exercises care in the operation and use of equipment and reference materials. Performs routine cleaning and preventive maintenance to ensure continued functioning of equipment. Maintains work area in a clean and organized manner.
20. Refers complex or sensitive issues to the attention to Management, to ensure corrective measures are taken in a timely fashion.
21. Accepts and learns new tasks as required and demonstrates a willingness to work where needed.
22. Assists other staff as required in the completion of daily tasks or special projects to support the department's efficiency.
23. Performs similar or related duties as assigned or directed.
Minimum Qualifications:
Education: Associates Degree required, bachelor's degree preferred. In absence of Associates Degree, additional 4-years in health care revenue cycle will be considered.
Licensure, Certification & Registration: Billing Certification preferred
Experience: 3 years of experience in billing and denial management environment or related field such as enrollment.
Skills, Knowledge & Abilities:
Non-Exempt
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) and COVID-19 as a condition of employment. Learn more about this requirement.
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/Disabled
