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Beth Israel Lahey Health Patient Accounts Representative--Hospital Billing in Burlington, Massachusetts

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)

This may be a remote opportunity. Discussed during interview

As part of the hospital billing team, the Patient Accounts Representative:

Transmits claims electronically and/or via paper to our third party payers on a daily basis.

Monitors accounts for payments, investigating delays and variances.

Investigates and analyzes failed bills for cause and possible resolution options.

Addresses in a timely manner by, (to include but not limited to):

Contacting patients for demographics and/or insurance information.

Contacting physician offices and to update diagnosis ICD and CPT codes to accurately reflect services and medical rationale.

Reviewing payments for the insurance payor’s appropriate contractual allowance code.

Entering data into the billing system to adjust for contractually established rates.

Resubmitting to insurance payer with missed information and/or explanations.

Issuing refunds, transfers and corrections within department procedures.

Contacts patients to collect bills that are denied through insurance payers and/or are self-pay.

Contacts insurance payers to resolve issues and expedite reimbursement.

Counsels patients on payment options and others on Mass Health Plan options and eligibility and assists them in completing the required application.

Handles patient/customers complaints timely, efficiently and in a satisfactory manner.

Utilizes the Coding department resources and knowledge to update diagnosis ICD and CPT codes to accurately reflect services and medical rationale.

Submits credit card documentation to Cash Applications team for processing daily.

Required:

High School diploma or equivalent

At least one year experience in healthcare billing or in a role working with health care insurance.

Experience with third party billing in a hospital, clinic, doctor’s office, or insurance company

Strong customer service/relations skills

Job Description:

FLSA Status:

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 (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) 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

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