Customer Billing Specialist
1 month ago
Boston Scientific is seeking a highly skilled and detail-oriented Customer Billing III to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the accuracy and efficiency of our billing processes, working closely with payers, and analyzing data to identify trends and areas for improvement.
Responsibilities:- Monitor assigned payers for high-level performance reviews and create scorecards as needed.
- Produce and circulate payer analytical outcome data to relevant teams.
- Perform in-depth audits of payer requested challenges to RCM Leadership, HEMA/contracting.
- Conduct formally assigned payer performance reviews under perspectives 1 & 2.
- Support RCM and HEMA staff on CERT audits as assigned.
- Support high-volume data requests from insurers as assigned by RCM or HEMA leaders on behalf of contract administration and RCM.
- 3 Years with Associate in Arts degree/diploma, or an equivalent combination of education/work experience.
- Proficient use of all Microsoft Office applications and internal tools.
- Familiarity with Microsoft Dynamics and Xifin RPM Billing Platform.
- Ability to manage, sort, and assess large data reports to summarize requested analytics.
- Extensive knowledge of healthcare claims and basic regulatory billing requirements.
- Basic knowledge of CPT and ICD-10 coding.
- Basic knowledge of Claim-by-claim Medical Appeals Processing.
- Understanding of and compliance with SOP's listed herein.
- Proven ability to identify trends and apply critical thinking skills.
- Ability to work independently to meet provided timelines.
Boston Scientific is a global leader in medical science, committed to solving the challenges that matter most. We are dedicated to advancing science for life, transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate.
We recognize that nurturing a diverse and inclusive workplace helps us be more innovative and is essential in our work of advancing science for life and improving patient health. We stand for inclusion, equality, and opportunity for all, embracing the richness of our unique backgrounds and perspectives to create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve.
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