Massachusetts Jobs

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Position Summary:

The Billing Coordinator is responsible for processing all charges for the assigned service area and ensures all charges are captured within the electronic documentation system for billing correctly. This individual reviews the accuracy of data in the electronic documentation system as well data entry of electronic logs for data registry purposes.

Job Description:

OR MATERIALS RESOURCE & BILLING COORD_MAH

Essential Duties & Responsibilities:

1. Develops systems and processes that expedite billing submission that are accurate and complete and reflect various requirements from Medicare, Medicaid, commercial and managed care insurance companies.

2. Conducts documentation review as it pertains to supplies, implants and equipment with Materials Management and IT. Assists with Electronic Documentation accuracy through on-going communication with nursing team specific to charges, system maintenance and updates.

3. Ensures timely processing and documentation for a variety of service programs and reporting registries; i.e. vendor agreement, service contracts, pacemakers and ICD data base entry, etc.

4. Verifies charge sheet for procedures to ensure patients are charged correctly for all equipment and supplies used. Matches charge sheet against charge master on a daily basis to ensure all items that have been used are accounted for. Reconciles charges by verifying case length times, and supplies and implants used for procedures to ensure patients are charged correctly on a daily basis.

5. When needed, collaborates with the Patient Access Team on insurance verifications, authorizations and re-authorizations to maximize correct billing prior to submission in order to minimize denials and re-submissions to third party payors.

6. Responds to inquiries from 3rd party payers, internal billing staff, finance, auditors and physicians regarding charges. Makes well-documented adjustment and corrections when necessary in compliance with hospital policy as needed.

7. Ensures mark-up pricing is estrablished for specialty items per facility guidelines as indicated.

8. Performs back-up functions as requested. Duties may include greeting patients, scheduling, confirmation calls, as well as answering the phones.

Qualifications:

1. High School Diploma or Equivalent (GED) required.

2. Requires the ability to use various computer software applications

3. Knowledge of Microsoft Office tools

4. Ability to communicate (speak, read and write) clearly in English

5. Ability to manage multiple projects simultaneously with minimal supervision

6. Strong interpersonal skills

7. Strong organizational skills and attention to detail.

8. Mathematical and analytical skills and the ability to add and subtract accurately

9. Knowledge of medical terminology, surgical procedures and supplies - preferred

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