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Revenue Cycle Specialist Iii

3 months ago

Boston, Massachusetts, United States East Boston Neighborhood Health Center Full time

Thank you for your interest in careers at EBNHC:
Everywhere you turn, you can feel it.

There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country.

From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the customer service representatives who keep our facilities running smoothly - everyone here has a role in making medicine better.

To learn more about working at EBNHC and our benefits, check out our Careers Page at

Time Type:

Part time

Department:

Patient Accounts

All Locations:

East Boston

Description:


Are you an experienced Revenue Cycle Specialist seeking to work part time remotely? Reporting directly to department manager and under the general direction of the Lead Biller, the EBNHC Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable and enhance collection performance.

This position is relied upon to leverage payer and industry knowledge, collaborate within the Patient Accounts team, and work on any revenue cycle activity with little supervision.

Utilize electronic medical billing systems as well as in depth advanced knowledge of medical billing and insurance rules and regulations to resolve accounts receivables issues.

This position serves as the primary resource on complex issues and specified duties.
Epic PB Resolute and medical billing experience is required for this position. Strong verbal and written communication skills are needed to be successful in this role. This position is a 100% remote work opportunity. Proof of residency is required in one of the following States, (Massachusetts, New Hampshire, Ohio, Michigan or Florida).

Qualifications and Requirements:

  • Meet deadlines and productivity standards for Epic work queues, including but not limited to Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure clean claim submission), Transaction history (track claim submission and payor response).
  • Work the priority Epic work queues, projects and/or accounts and provide immediate feedback to management.
  • Utilize MS Office, with an emphasis on Excel to document, trend, and communicate workflow assignments, trends, and information vital to performance.
  • Knowledge of ICD10, Modifiers,Revenue Codes, HCPCS and CPT codes.
  • Coordinate data to complete special billing projects based on contractual obligations and regulatory demands.
  • Work along EBNHC Patient Accounts Leadership with various payors as part of the contact group responsible for updates and information required to assist others in the organization.
  • Participation in various projects and testing of updates for evaluation and implementation.
  • Maintains good interpersonal relationships with stakeholders internal and external to the department.
  • Provides feedback to assist EBNHC management in developing strategies to improve financial service operations.