Job Information
East Boston Neighborhood Health Center Revenue Cycle Specialist III in East Boston, Massachusetts
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 patients and local community. From the nurses and physicians on the front line of patient care, to the managers who lead and guide our staff, to the many support roles that keep our facilities running smoothly - everyone plays a vital role in improving medicine for our patients.
Interested in this position? Apply online and create a personal candidate account!
Current Employees of NeighborHealth - Please use our internal careers (https://www.myworkday.com/ebnhc/d/task/1422$794.htmld) portal to apply for positions.
To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page (http://careers.ebnhc.org) .
Time Type:
Full time
Department:
Patient Accounts
All Locations:
East Boston
Position Summary:
Reporting directly to department manager and under the general direction of the Lead Biller, the NeighborHealth Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable and enhance collection performance. This position is relied upon to train staff and work on any activity within the team with little supervision. Utilize electronic medical billing systems as well as in depth advanced knowledge of medical billing and insurance rules and regulations to resolve accounts receivables issues. This position serves as the primary resource on complex issues and specified duties.
Essential Duties & Responsibilities
Meet deadlines and productivity standards for Epic work queues, including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure clean claim submission) & Transaction history (track claim submission and payor response)
Work the priority Epic work queues , projects and/or accounts and provide immediate feedback to management.
Utilize payor websites to research policies and coverage eligibility for use in claim adjudication, trend identification, and application for process improvement.
Utilize MS Office, with an emphasis on Excel to document, trend, and communicate workflow assignments, trends, and information vital to performance.
Apply transfers and/or adjustments to invoices as necessary to complete the resolution of each invoice.
Knowledge of ICD-10, Modifiers,Revenue Codes, HCPCS and CPT codes.
Coordinate data to complete special billing projects based on contractual obligations and regulatory demands.
Apply knowledge of insurance rules and regulations to interpret new insurance/HCFA/UB/HIPAA information and report potential impact.
Work along NeighborHealth Patient Accounts Leadership with various payors as part of the contact group responsible for updates and information required to assist others in the organization.
Participation in various projects and testing of updates for evaluation and implementation.
EDUCATION: High School Diploma or equivalent.
EXPERIENCE:
3+ years of experience in a medical billing
3+ years of Epic PB Resolute experience required
Demonstrate proficiency with a variety of automations, including but not limited to Epic, Microsoft Word, Excel, Email and electronic data processing skills
Working knowledge of insurance rules and regulations
Proficiency in PC software (i.e database)
Ability to manage multiple tasks/projects simultaneously
SKILLS/ABILITIES:
Proficiency level understanding of Medical Billing, ICD and CPT coding preferred.
Strong organizational skills and effective interpersonal skills
Excellent communication skills (verbal and written)
BENEFITS:
Medical, dental, and vision coverage
Life and disability insurance
401(k) retirement plan
Tuition reimbursement
Flexible spending and transportation accounts
Paid holidays, vacations, sick, and personal time
Generous staff development benefit
Excellent malpractice coverage
Pet insurance
Free parking
And much more
PAY RANGE:
Starting at $21.51 up to $32.26 depending on experience
There’s a reason NeighborHealth (formerly East Boston Neighborhood Health Center) is ranked as one of the "Top Places to Work" by The Boston Globe. It's because we're committed to maintaining a supportive and welcoming environment — for both our employees and our patients — that reflects our mission and culture. We are proud to offer benefits that support you inside and outside of work.
We strive to offer a variety of schedules, a diverse and inclusive workforce, and a patient-driven purpose that supports our local community. Additionally, we utilize our Education & Training Institute as a resource for our large employee workforce who seek to broaden their skill base and advance their careers. We hope you consider joining our team!
Medical & Dental Coverage
Life and Disability Insurance
Privileges at Boston Medical Center for Providers
401(K) Retirement Plan
Educational Assistance
Flexible Spending & Transportation Accounts
Paid Holidays, Vacations, Sick and Personal Time
A Generous Staff Development Benefit
Excellent Malpractice Coverage
A Designated Medical Staff Office for Physician Support
Free Parking
And Much More…