Revenue Integrity Specialist
2 weeks ago
Job Summary This Revenue Integrity Specialist will be responsible for: Overseeing revenue cycle operations for the Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance with internal controls. Reviewing charge activity work queues and releasing charges from Epic to payers in compliance with Charge Description Master (CDM) with a focus on appropriate capture and reporting of revenue. Analyzing, supporting, and following up on complex revenue integrity initiatives. Providing Foundation subject matter expertise for insurance. Assisting front-end staff on insurance and organizational revenue integrity and charge capture policies and procedures. Coordinating new Attending and Fellow billing and coding training. Acting as the single point of contact for billing compliance and insurance audit escalations as well as annual billing and insurance plan updates. Providing subject matter expertise for contracting and pricing fee schedule updates, plan enrollment, and non-covered benefits. 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 a 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 bills and educate about medical billing while de-escalating complaints Knowledgeable in key performance indicators of revenue cycle such as accounts receivable and payer mix Boston Children’s 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
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Revenue Integrity Specialist
3 months 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...
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Revenue Integrity Specialist
3 months 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...
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Revenue Integrity Analyst
3 months ago
Boston, United States East Boston Neighborhood Health Center Full timeRevenue Integrity Analyst Remote, Part-timeEBNHC seeking an experienced Revenue Integrity Analyst for remote position! Under the direction of the Manager of Revenue Integrity and Payer Contracting, the Revenue Integrity Analyst will provide analytical support to proactively identify performance trends and propose solutions when needed. This will require...
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Billing/Revenue Specialist
3 months ago
Boston, United States Marsh McLennan Companies Full timeDescription: What can you expect: Marsh McLennan is looking for a Billing/Revenue Specialist to join the Controllership team. In this role, you will support the Oliver Wyman Business with all aspects of the project life cycle. This position will work closely with the Partners of the firm to prepare invoices, monitor outstanding balances, and ensure...
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Revenue Cycle Specialist III
3 months 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...
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Revenue Cycle Specialist III
1 week ago
Boston, Massachusetts, United States East Boston Neighborhood Health Center Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Specialist to join our team at East Boston Neighborhood Health Center. As a key member of our Patient Accounts team, you will play a critical role in ensuring the efficient and accurate processing of medical claims.Key ResponsibilitiesClaims Processing: Utilize Epic PB Resolute and other electronic...
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Revenue Billing Specialist
2 months ago
Boston, United States Marsh McLennan Companies Full timeDescription: Marsh McLennan is seeking candidates for the following position based in the Boston office: Revenue Billing Specialist What can you expect? Support Partners of the firm on revenue recognition details and invoicing to clients. You will reach out to evaluate the completion status of each project every month. Ensuring that all...
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Revenue Billing Specialist
2 months ago
Boston, Massachusetts, United States MMC Corporate Full timeMarsh McLennan is seeking candidates for the following position based in the Boston office:Revenue Billing SpecialistWhat can you expect?Support Partners of the firm on revenue recognition details and invoicing to clients. You will reach out to evaluate the completion status of each project every month. Ensuring that all revenue guidelines and procedures are...
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Revenue Operations Specialist
6 days ago
Boston, Massachusetts, United States BizzyCar, Inc. Full timeJob DescriptionBizzyCar, Inc. is seeking a highly skilled Revenue Operations Analyst to join our team. As a key member of our organization, you will play a critical role in driving the growth and success of our business.Key Responsibilities:Own and manage our revenue enablement tools and processes, ensuring seamless integration and optimal...
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Revenue Cycle Specialist III
3 months ago
Boston, United States East Boston Neighborhood Health Center Full timeRevenue Cycle Specialist III East Boston, MAFull-time, benefit eligibleReporting 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 train staff and...
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Revenue Operations Specialist
2 days ago
Boston, Massachusetts, United States BizzyCar, Inc. Full timeAbout the RoleBizzyCar, Inc. is seeking a highly skilled Revenue Operations Analyst to join our team. As a key member of our operations team, you will play a critical role in driving revenue growth and customer success.Key ResponsibilitiesOwn and manage our revenue enablement tools and processes, ensuring seamless integration with our customer success...
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Revenue Cycle Specialist III
2 weeks ago
Boston, Massachusetts, United States East Boston Neighborhood Health Center Full timeAbout UsEast Boston Neighborhood Health Center is a leading community health center in the greater Boston area, dedicated to providing high-quality healthcare services to our patients and community.Job SummaryWe are seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our Patient Accounts department, you will play a critical...
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Revenue Accountant
1 week ago
Boston, United States Quick Base Full timeAt Quickbase, we’re on a mission to end a universal problem: Gray Work. The ad-hoc, manual work we do looking for documents, resources, etc. when technology isn’t working for us—that’s Gray Work, and it negatively impacts productivity, employee well-being and a company’s bottom line. Quickbase’s platform for Dynamic Work Management (the first...
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Senior Director, Revenue Operations
4 weeks ago
Boston, Massachusetts, United States Infoblox Full timeDescription It's an exciting time to be at Infoblox. Named a Top 25 Cyber Security Company by The Software Report and one ofInc. magazine's Best Workplaces for 2020,Infoblox is the leader in cloud-first networking and security services. Our solutions empower organizations to take full advantage of the cloud to deliver network experiences that are inherently...
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MES Integration Specialist
2 weeks ago
Boston, Massachusetts, United States PES International Full timeJob OverviewPosition: Digital Support - MES SpecialistIndustry: Pharmaceutical & Life SciencesCompany: PES InternationalAbout the Role:PES International stands as a global frontrunner in delivering commissioning, qualification, and automation solutions. Our extensive expertise spans from the initial design phase to the commissioning and qualification of...
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MES Integration Specialist
2 weeks ago
Boston, Massachusetts, United States PES International Full timeJob OverviewPosition: Digital Support - MES SpecialistIndustry: Pharmaceutical & Life SciencesCompany: PES InternationalOpportunity Summary:PES International stands as a global frontrunner in delivering commissioning, qualification, and automation solutions. Our extensive expertise spans from initial design concepts to the commissioning and qualification...
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MES Integration Specialist
2 weeks ago
Boston, Massachusetts, United States PES International Full timeJob OverviewPosition: Digital Support - MES SpecialistIndustry: Pharmaceutical & Life SciencesCompany: PES InternationalOpportunity Summary:PES International stands as a global frontrunner in delivering commissioning, qualification, and automation solutions. Our extensive expertise spans from the initial design phase to the final commissioning and...
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Senior Director, Revenue Operations
1 week ago
Boston, United States Infoblox Full timeIt’s an exciting time to be at Infoblox. Named a Top 25 Cyber Security Company by The Software Report and one of Inc. magazine’s Best Workplaces for 2020, Infoblox is the leader in cloud-first networking and security services. Our solutions empower organizations to take full advantage of the cloud to deliver network experiences that are inherently...
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Senior Director, Revenue Operations
2 weeks ago
Boston, United States Infoblox Full timeDescriptionIt's an exciting time to be at Infoblox. Named a Top 25 Cyber Security Company by The Software Report and one of Inc. magazine's Best Workplaces for 2020, Infoblox is the leader in cloud-first networking and security services. Our solutions empower organizations to take full advantage of the cloud to deliver network experiences that are inherently...
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SVP Revenue Cycle
3 months ago
Boston, United States Tufts Medicine Full timeJob Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Revenue Cycle Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors....