Changing health care
to improve quality of
life for all.
Beth Israel Lahey Health’s roots in providing top-quality health care date back nearly a century. We're fully committed to ensuring our patients receive the care they deserve. As a leading healthcare provider throughout New England, we aim to change the current state of health care for the better and make lasting improvements that guarantee access to our services.
Hospital Biller
Needham, Massachusetts
Organization Facility: Beth Israel Lahey Health - Non Executive Category: Billing, Collections, & Patient Financial Services Job ID: JR45397 Date posted: 05/01/2024Job Type: Regular
Time Type: Full time
Work Shift: Day (United States of America)
FLSA Status: Non-Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Responsible for clean and timely submissions of 837I and UB claims to insurance carriers to ensure maximum reimbursement for the Hospital Health System.Job Description:
Essential Duties & Responsibilities including but not limited to:
1) Responsible for the timely submission of clean 837I and/or UB claims.
2) Follows up on 277CA rejections within assigned WQ’s until acceptance validation has been received by the payer.
3) Interacts by telephone and/or mail with payers relative to claims processing.
4) Resubmits claims when necessary, utilizing a variety of EDI technologies and relevant billing systems to reduce aged rejections.
5) Reviews, validates, and updates coverage changes on hospital accounts within assigned WQ to avoid denials (i.e. COB, invalid payer, etc)
6) Resolves accounts within Hospital Billing Claim Edit WQ’s due to invalid account information(i.e., wrong subscriber ID format, patient demographics, etc)
7) Sorts, prepares and processes incoming and outgoing paper UB and insurance correspondence.
8) Maintains detailed documentation on individual account activity such as correspondence, phone conversations, and the like.
9) Resolves specific payer/plan claim edits in assigned WQ’s generated from within Epic and the external Clearinghouse Vendor.
10) Establishes relationships and maintains open communication with third party payor representatives in order to resolve claims issues.
11) Identifies internal and/or external billing issues and notifies Supervisor and/or Manager.
12) Alerts Supervisor and/or Manager to procedural and/or system changes based upon payer billing requirements
13) Accessing payer websites for eligibility, claim status, possible online corrections, and viewing both the most current EDI and paper billing regulations.
Minimum Qualifications:
Education: High School Diploma or equivalent.
Licensure, Certification & Registration: N/A
Experience: Minimum 1 year experience in hospital billing and/or related activities.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
Featured Jobs
-
Learn more about Nursing at BILH
Explore the diverse and rewarding nursing opportunities at BILH, where you can make a meaningful impact on patient care while growing your skills in a supportive and innovative healthcare environment.
Learn more
-
Check out Benefits at BILH
Discover the outstanding BILH benefits that await you, encompassing competitive compensation packages, healthcare coverage, and a range of wellness programs designed to support your overall well-being.
Learn more
-
Explore Upcoming Events
Stay informed and engaged by exploring the upcoming BILH events, where you'll have the opportunity to connect with colleagues, expand your professional network, and gain insights into the latest advancements and trends in healthcare.
Learn more
Why join Beth Israel Lahey Health?
If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.
At Beth Israel Lahey Health, we see you for all that you are – your experience and your dreams. Explore our open opportunities and find out why so many have already chosen to join our team.
View All Opportunities
