At Boston Children's Hospital, success is measured in patients treated, parents comforted and teams taught. It's in discoveries made, processes perfected, and technology advanced. In major medical breakthroughs and small acts of kindness. And in colleagues who have your back and patients who have your heart. As the teaching hospital of Harvard Medical School, our reach is global and our impact is profound. Join our acclaimed Shared Service Center and discover how your talents can change lives. Yours included. This Shared Service Center Customer Service Specialist will be responsible for:
Responding to complex 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.
Knowledgeable and fully versed in 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.
Identifying any recurring billing trends and or issues encountered through guarantor/patient contact and develops solutions to said problems and escalates as appropriate.
Resolving issues through feedback, information, and research. Providing positive and effective customer service that supports departmental and hospital operations.
Analyzing, processing, and responding to physician and patient inquiries related to refunds and retractions in compliance with federal guidelines and regulations.
Acting as lead for special projects and assignments as identified by management or department on an as needed basis.
Acting as Subject Matter Expert to management and department.
Leading or participating in the training of new hires and experienced staff in routine and complex billing practices and procedures.
To qualify, you must have:
High School diploma or equivalent.
Minimum of 4 years of experience in a multi-specialty physician billing or equivalent medical billing experience.
Ability to perform at a high level of reliability in all duties.
Ability to identify problems and issues of varying complexities and to find effective solutions with few guidelines.
Takes responsibility in anticipation/prevention of issues from actions and problem solving inside and outside the department.
Strives to continuously improve services, processes and other activities that affect quality and productivity.
Ability to take initiative to complete complex assignments.
Conflict resolutions skills to deescalate difficult situations and/or issues.
Exemplifies professional integrity.
Ability to train and support other team members.
Boston Children's Hospital offers competitive compensation and unmatched benefits, including affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, cell phone plan discounts 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.
Internal Number: 2829435
About Boston Children's Hospital
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.