Biller Specialist II

Company: Dana-Farber Cancer Institute
Location: Brookline
Posted on: June 17, 2022

Job Description:

Overview

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Responsibilities

* Daily management of the assigned portion of the accounts receivable,
* Timely review and resolution of edits to ensure timely submission of claims to the payer
* Daily submission or follow up of third party claims
* Timely follow-up and resolution of outstanding claim balances, denial management
* Reviews and resolves credit balances
* Informs senior staff of billing issues/trends
* Operates on multiple systems as assigned. (ie Claim scrubber, Billing Systems)
* Daily management of the assigned portion of the accounts receivable (including accounts w/large balances)
* Manages assigned payers issues and participates in provider meetings to present issues.
* Keeps supervisor informed of changes to billing regulations for government and third party payers
* Keeps informed on updates to billing requirements, editing policies affecting reimbursement
* Performs analysis of persistent billing issues and recommends resolution to management
* Assists supervisors with coaching and training of billing specialist as needed.

Qualifications

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Bachelors degree, and minimum of 3 years of experience required. Also general experience within an office setting and computer skills preferred. Performs primary duties above as directed and requires moderate supervision. Experience working with various software applications, including Microsoft Office and various billing software preferred. Experience with patient account applications and procedures preferred.The Biller Specialists should have knowledge of third party billing regulations, as well as of hospital and/or professional operations, and third party payer requirements. The Biller Specialists should have working knowledge if industry standard medical coding conventions. They should be dependable, self-starters and be deadline driven. In addition to the previously mentioned, have strong oral and written communication skills and have the ability to work well independently as well as in a team setting.Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.

Keywords: Dana-Farber Cancer Institute, Brookline , Biller Specialist II, Other , Brookline, Massachusetts