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Beth Israel Lahey Health
Boston, MA, United States
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 respon
Job Source: Beth Israel Lahey HealthEast Boston Neighborhood Health Center
Boston, MA, United States
Thank you for your interest in careers at EBNHC!Everywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to
Job Source: East Boston Neighborhood Health CenterEncore Fire Protection
Needham, MA, United States
Overview: Naturally outgoing, detail-oriented, and unapologetically persistent are just a few of the words I'd use to describe the ideal System Integrity Specialist. The people that do best in this position are often the people called out for being able to start a conversation with just about anyone but known to never take no for an answe
Job Source: Encore Fire ProtectionAccuity
Boston, MA, United States
Job Type Full-time Description POSITION SUMMARY: As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client s
Job Source: AccuityAccuity
Boston, MA, United States
Job Type Full-time Description POSITION SUMMARY: As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client s
Job Source: AccuityBeth Israel Lahey Health
Needham, MA, United States
Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the direction of the Manager of Health Information Management, the HIM Data Integrity Specialist I is responsible for ma
Job Source: Beth Israel Lahey HealthBeacon Hill
Boston, MA, United States
To Apply for this Job Click Here Senior Revenue Operations Specialist, Boston MA Our client is a software company in Downtown Boston that has an immediate need for a Senior Revenue Operations Specialist. This need is expected to last 5-6 months and is an opportunity to work in a fast paced environment and gain project management experience. An id
Job Source: Beacon HillEast Boston Neighborhood Health Center
East Boston
Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! Everywhere you turn, you can feel the immeasurable level of enthusiasm here at NeighborHealth! We are one of the largest community health centers in the country, supporting the greater Boston area and focusing on the well-being of our patient
Job Source: East Boston Neighborhood Health CenterBoston, MA, United States
Job Summary
This Revenue Integrity Specialist will be responsible for: Overseeing revenue cycle operations for Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance of internal controls.
Reviews charge activity work queues and releases charges from Epic to payers in compliance with Charge Description Master (CDM) with a focus on appropriate capture and reporting of revenue.
Analyzes, supports and follows up on complex revenue integrity initiatives.
Provides Foundation subject matter expertise for insurance.
Assist front end staff on insurance and organizational revenue integrity and charge capture policies and procedures.
Coordinates new Attending and Fellow billing and coding training.
Act as the single point of contact for billing compliance and insurance audit escalations as well as annual billing and insurance plan updates.
Provide subject matter expertise for contracting and pricing fee schedule updates, plan enrollment and non-covered benefit.
In order to qualify, you must have: High School Diploma / GED
5 years of experience within a hospital or healthcare billing setting
Certified Professional Coder
Knowledgeable in revenue cycle operations
Familiar with insurance company processes and procedures
Ability to work with key stakeholders to optimize revenue cycle operations
Ability to train new staff with limited insurance knowledge on medical insurance
System proficiency with Epic, Powerchart, QCC, 3rd party insurance company websites, and clearing houses
Knowledgeable in Current Procedural Terminology, and ICD-10 diagnosis coding (CPC certification)
Ability to work in a deadline driven environment
Ability to manage billing compliance for department of 25 health care providers
Ability to clearly communicate complex medical information both verbally and in writing
Skill in working with families to understand bill and educate about medical billing while deescalating complaints
Knowledgeable in key performance indicators of revenue cycle such as accounts receivable and payer mix
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
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Email Alert for Revenue Integrity Specialist jobs in Boston, MA, United States
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