Customer Billing Iv

1 week ago


Houston, United States Boston Scientific Corporation Full time

**Work mode**:Onsite**Onsite Location(s)**:Houston, TX, US, 77001**Additional Location(s)**: N/A**Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance**
- At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing - whatever your ambitions.**1st shift hours - Monday - Friday 8:00 AM - 5:00 PM**

**About the role**:
Maintain a complete collection of accounts receivable for area of expertise. This includes following accounts through the revenue cycle, from charge review, claim edits, claim submission, and follow up with third party payers and patients to facilitate prompt resolution of outstanding account balances.**Your responsibilities will include**:

- Resolve claim edits via claim edit work queues and/or our external billing software.
- Review charges to ensure accurate filing to correct guarantor.
- Analyze and reconcile denied payment transactions.
- Compile and file all information needed to appeal denials.
- Follow federal and state regulations to ensure compliance standards are met.
- Monitor timely filing requirements on claims and appeals.
- Follow-up with contracted payers to secure payments on outstanding balances.
- Evaluate third party payments to ensure accuracy relative to contract language (underpayment/overpayment)

**Required qualifications**:

- 6 Years with Associate in Arts degree/diploma, or an equivalent combination of education/work experience

**Preferred Qualifications**
- 5+ Years Prior Medical Collections Experience.
- Prior Team Lead or Supervisory Experience Preferred
- Knowledge of Claims processing and adjustments
- Knowledge of Medicare, Medicaid, and Commercial carriers Claim Processing and Appeals regulations
- Excellent communication and organizational skills
- Ability to calculate insurance benefits and write appeal letters (using templates)
- Ability to read and understand Explanation of Benefits.
- Insurance verification
- Basic Benefit Coordination Knowledge of Medicaid or Medicare**Requisition ID**:583615At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. Boston Scientific is proud to be an equal opportunity and affirmative action employer.- Boston Scientific maintains a prohibited substance free workplace. Pursuant to Va. Code - 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.-
**Nearest Major Market**:Houston
**Job Segment**:Testing, Accounts Receivable, Medicaid, Medicare, Compliance, Technology, Finance, Healthcare, Legal


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