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Children's Hospital Boston Senior SSC Customer Service Associate in Boston, Massachusetts

60193BRTitle:Senior SSC Customer Service AssociateDepartment:Physician's OrganizationAutoReqId:60193BRStatus:Full-TimeStandard Hours per Week:40 Job Category:AdministrationJob Posting Description:At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.

This Senior Associate, SSC Customer Service will be responsible to:

  • Respond to patient/guarantor concerns which span a wide range of issues, including payer denials, coding accuracy/appropriateness, secondary billing, coordination of benefits, verification of co-payments/co-insurance/deductibles and verification/updates to demographic and fiscal registrations in order to verify the patient’s responsibility for all outstanding balances

  • Be knowledgeable and fully versed in Boston Children’s Hospital (BCH) Credit & Collection Policy and Financial Assistance Policy and must inform patients of all assistance available to them when making payment arrangements, or processing payments

  • Research all inquiries to resolution using various sources, including contacting insurance companies and other outside contacts. Communicate response to patients on findings accurately and in a timely manner

  • Follow established regulations and procedures in collection, recording, storage and handling of information. Ensure required documentation of issues are complete, accurate, timely and legible. Protect and preserve confidentiality and integrity of all information according to BCH HIPAA confidentiality policy

  • Demonstrate a positive, open-minded, confident attitude and represents a team perspective, willingness, and enthusiasm to collaborate with others. Enthusiastically promote a cooperative team environment to provide value to all customers. Listen and interact tactfully, diplomatically and effectively without alienating others

  • Escalate any recurring billing trends and or issues encountered through guarantor/patient contact and when possible assists in developing solutions to said problems

To qualify, you must have:

  • A High School diploma or equivalent is required and a min of 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience

  • Knowledge of consumer & federal rights and regulations

  • Knowledge of claims processing and contracts as it relates to payers, physician billing and third party payers

  • Thorough knowledge and understanding of benefits and/or coverage as indicated by third party payer requirements

  • Ability to identify problems and issues of varying complexities and to find effective solutions with few guidelines

  • This is a hybrid position located in Westwood

Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organization needs

Boston Children’s Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounted rates on T-passes (50% off). Discover your best.

Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.

Office/Site Location:WestwoodRegular, Temporary, Per Diem:Regular

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