Revenue Integrity Specialist
2 weeks ago
Job Summary
This Revenue Integrity Specialist will be responsible for:
Overseeing revenue cycle operations for Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance of internal controls.
Reviews charge activity work queues and releases charges from Epic to payers in compliance with Charge Description Master (CDM) with a focus on appropriate capture and reporting of revenue.
Analyzes, supports and follows up on complex revenue integrity initiatives.
Provides Foundation subject matter expertise for insurance.
Assist front end staff on insurance and organizational revenue integrity and charge capture policies and procedures.
Coordinates new Attending and Fellow billing and coding training.
Act as the single point of contact for billing compliance and insurance audit escalations as well as annual billing and insurance plan updates.
Provide subject matter expertise for contracting and pricing fee schedule updates, plan enrollment and non-covered benefit.
In order to qualify, you must have:
High School Diploma / GED
5 years of experience within a hospital or healthcare billing setting
Certified Professional Coder
Knowledgeable in revenue cycle operations
Familiar with insurance company processes and procedures
Ability to work with key stakeholders to optimize revenue cycle operations
Ability to train new staff with limited insurance knowledge on medical insurance
System proficiency with Epic, Powerchart, QCC, 3rd party insurance company websites, and clearing houses
Knowledgeable in Current Procedural Terminology, and ICD-10 diagnosis coding (CPC certification)
Ability to work in a deadline driven environment
Ability to manage billing compliance for department of 25 health care providers
Ability to clearly communicate complex medical information both verbally and in writing
Skill in working with families to understand bill and educate about medical billing while deescalating complaints
Knowledgeable in key performance indicators of revenue cycle such as accounts receivable and payer mix
Boston Childrens Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
#J-18808-Ljbffr
-
Revenue Integrity Specialist
1 day ago
Boston, United States Boston Children's Hospital Full timeJob Posting DescriptionThis Revenue Integrity Specialist will be responsible for: Overseeing revenue cycle operations for Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance of internal controls. Reviews charge activity work queues and releases charges from Epic to payers in compliance with Charge...
-
Revenue Integrity Specialist
3 weeks ago
Boston, United States Children's Hospital Boston Full time72268BRJob Posting Title:Revenue Integrity SpecialistDepartment:OphthalmologyAutoReqId:72268BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:??????This Revenue Integrity Specialist will be responsible for: + Overseeing revenue cycle operations for Department with the goal of maximizing revenue by implementing...
-
Revenue Integrity Analyst
2 weeks ago
Boston, United States East Boston Neighborhood Health Center Full timeThank 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...
-
Senior Revenue Integrity Analyst
5 days ago
Boston, United States Partners Healthcare System Full timeThis is a fully remote position, eastern standard business hours. About Us As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, MGB supports a...
-
Revenue Cycle Specialist III
3 weeks ago
Boston, United States East Boston Neighborhood Health Center Part timeRevenue Cycle Specialist IIIRemote, Part-timeAre 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...
-
Revenue Specialist
2 weeks ago
Boston, United States 2Life Communities Full timeIf you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Revenue Specialist 12 days ago Requisition ID: 1226 Salary Range: $50,000.00 To 66,000.00 Annually To assist the Director of Compliance role by providing organized support in various Compliance...
-
Revenue Cycle Specialist III
4 weeks ago
Boston, United States East Boston Neighborhood Health Center Full timeDescription: Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable and enhance collection performance. 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...
-
Director of Revenue Operations
3 weeks ago
Boston, United States Catapult Full timeWe are looking for a talented and inquisitive Director of Revenue Operations whose drive for learning and determination for continuous improvement aligns with our ambitious, fast-growing and transforming company. Based in Boston, they will optimize deal execution by introducing streamlined processes and leveraging automation. Their primary objective will be...
-
Director, Revenue Operations
5 days ago
Boston, United States Transmit Security Full timeAbout Transmit Security: Founded and led by multiple-time successful cyber and identity security pros, Transmit Security offers a unique opportunity. A ten-year old, profitable company with a jealously admired customer list of large/very large enterprises around the world spending millions of dollars per year. But also, a company that still operates like a...
-
Sr. Revenue Operations Analyst
5 days ago
Boston, United States Bevi Full timeBevi is on a mission to disrupt the beverage supply chain and replace single-use water bottles with smart water machines. Thousands of companies use Bevi to sustainably provide their employees with pure, sparkling, and flavored water at work. As the market leader in IoT-enabled beverage machines, we've raised over $160M in venture capital and we have grown...
-
Associate Consultant, Revenue Cycle
1 week ago
Boston, United States The Chartis Group Full timeAssociate Consultant, Revenue Cycle About Chartis Chartis is a comprehensive advisory and analytics services firm dedicated to the healthcare industry. With an unparalleled depth of expertise in strategic planning, performance excellence, informatics and technology, and health analytics, we help leading academic medical centers, integrated delivery networks,...
-
Director, Revenue Operations
2 weeks ago
Boston, United States Transmit Security Full timeJob DescriptionJob DescriptionAbout Transmit Security:Founded and led by multiple-time successful cyber and identity security pros, Transmit Security offers a unique opportunity. A ten-year old, profitable company with a jealously admired customer list of large/very large enterprises around the world spending millions of dollars per year. But also, a company...
-
Director, Revenue Operations
13 hours ago
Boston, United States Transmit Security Full timeJob DescriptionJob DescriptionAbout Transmit Security:Founded and led by multiple-time successful cyber and identity security pros, Transmit Security offers a unique opportunity. A ten-year old, profitable company with a jealously admired customer list of large/very large enterprises around the world spending millions of dollars per year. But also, a company...
-
Regional Vice President
6 days ago
Boston, United States Pyramid Global Hospitality Corporate Offices - Boston Full timeAbout Us: At Pyramid Global Hospitality, people come first. As a company that values its employees, Pyramid Global Hospitality is dedicated to creating a supportive and inclusive work environment that fosters diversity, growth, development, and wellbeing. Our commitment to a People First culture is reflected in our approach to employee development, employee...
-
Regional Vice President
7 days ago
Boston, United States Pyramid Global Hospitality Full timeOverview The Regional Vice President of Revenue Strategy is a key executive role responsible for overseeing revenue generation and profitability of a cluster of Branded hotels in the West Region. The position involves working closely with the hotel management teams to develop and execute effective revenue management strategies that drive revenue growth,...
-
Regional Vice President
1 day ago
Boston, United States Pyramid Global Hospitality Corporate Offices - Boston Full timeOverviewThe Regional Vice President of Revenue Strategy is a key executive role responsible for overseeing revenue generation and profitability of a cluster of Branded hotels in the West Region. The position involves working closely with the hotel management teams to develop and execute effective revenue management strategies that drive revenue growth,...
-
Regional Vice President
3 days ago
Boston, United States Pyramid Global Hospitality Corporate Offices - Boston Full timeOverviewThe Regional Vice President of Revenue Strategy is a key executive role responsible for overseeing revenue generation and profitability of a cluster of Branded hotels in the West Region. The position involves working closely with the hotel management teams to develop and execute effective revenue management strategies that drive revenue growth,...
-
Director, Revenue Operations
4 days ago
Boston, MA, United States Transmit Security Full timeAbout Transmit Security:Founded and led by multiple-time successful cyber and identity security pros, Transmit Security offers a unique opportunity. A ten-year old, profitable company with a jealously admired customer list of large/very large enterprises around the world spending millions of dollars per year. But also, a company that still operates...
-
Sr. Revenue Operations Analyst
3 days ago
Boston, Massachusetts, United States Bevi Full timeBevi is on a mission to disrupt the beverage supply chain and replace single-use water bottles with smart water machines. Thousands of companies use Bevi to sustainably provide their employees with pure, sparkling, and flavored water at work. As the market leader in IoT-enabled beverage machines, we've raised over $160M in venture capital and we have grown...
-
Revenue Accounting Manager
3 weeks ago
Boston, United States Peloton Consulting Group Full timeDescription Recognized on the Inc. 5000 fastest growing companies in the US, Peloton is one of the largest and fastest growing professional services firms specializing in Integrated Cloud Solutions for Enterprise Resource Planning, Enterprise Performance Management, Supply Chain Management, Human Capital Management and Big Data and Analytics. Peloton has the...