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Beth Israel Deaconess Medical Center Senior Patient Financial Services Representative in Boston, Massachusetts

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Senior Patient Financial Services Representative

Department Description:Patient Financial Service Representative.

Job Location:Boston, Massachusetts

Req ID:45815BR

Job Summary:Efficiently and accurately completes senior level Accounts Receivable tasks of higher complexity which requires an increased level of oversight to ensure both compliance and successful collection of payment. Serves as a role model/mentor to the staff with in their areas of responsibility and throughout the department particularly in areas of attendance, customer service departmental policies and job procedures in the area of responsibility.

Essential Responsibilities:

  • Investigates and resolves problems or difficult cases and communicate them to the supervisor within the designated time frame.

  • Works all inpatient accounts via online work list, aged trial balance reports or other reports by making calls or checking website for claim receipt. Processes appeals as needed and reconciles account balances according to procedure.

  • Researches and secures payment for accounts over $10k by follow up or appeal process.

  • Works aged accounts over 220 days old to secure payment and ensure claims are worked according to payer guidelines.

  • Bills, conducts follow up and appeals high dollar and older aged claims to ensure payments is received.

Required Qualifications:

  • High School diploma or GED required. Associate's degree preferred.

  • 3-5 years related work experience required.

  • Proficient keyboarding skills for data entry and ability to navigate between more than one computer system.

  • Ability to work independently as well as part of a team; ability to work effectively in a fast paced environment.

  • Strong working knowledge of managed care rules and regulations, medical terminology, ICD and CPT codes, third party payer billing requirements and coordination of benefits and payer requirements.

  • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Preferred Qualifications:

  • Two or more years of revenue cycle experience within the healthcare industry.

  • Ability to analyze root cause and make decisions/recommendations to supervisor while prioritizing tasks to ensure optimal outcomes.

Competencies:

  • Decision Making:Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.

  • Problem Solving:Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.

  • Independence of Action:Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.

  • Written Communications:Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

  • Oral Communications:Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

  • Knowledge:Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

  • Team Work:Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.

  • Customer Service:Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Physical Nature of the Job:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally

EOE Statement

BIDMC is EOE M/F/VET/DISABILITY/GENDER IDENTITY/SEXUAL ORIENTATION

Vaccines

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. BILH requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.

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