- Beth Israel Lahey Health (Charlestown, MA)
- …accounts with higher complexity in any Claims Edit work queue and resubmits claims through the Epic Billing System.** **Works higher level of complexity ... specific claim edit work queue(s) daily and resubmit claims through the Epic billing system** **Works higher level of complexity External claim edits from… more
- Beth Israel Lahey Health (Burlington, MA)
- …reports them to the Billing Supervisor. 2. Ability to navigate the hospital billing system to identify paid claims or root causes of denial when assessing ... claims /charge denials and edits that are communicated via Epic , Explanation of Benefits (EOB), direct correspondence from the...the Central Billing Office. 16. Assists the Billing Supervisor with the resolution of complex claims… more
- Beth Israel Lahey Health (Burlington, MA)
- …least annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate ... claims /charge denials and edits that are communicated via Epic , Explanation of Benefits (EOB), direct correspondence from the...the Central Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to ensure timely submission of claims in accordance ... + Triage accounts to the responsible parties in the billing system to ensure claims are addressed...billing regulations, as well as of hospital and/or professional operations, and third-party payer requirements. + Ability to… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- Ophthalmic Consultants if Boston is currently looking for Authorization Billing Specialists to join our team in Plymouth. These specialists provide administrative ... and billing support to the Retina team and serves as...and methodically saves PA approval to patient record in Epic and updates Permanent Comments field in Epic… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …compliance as well as demonstrated management experience required. + Epic hospital billing (HB) and professional billing (PB) modules preferred. + Cancer ... programs that adhere to regulations and industry standards, focusing on hospital and professional billing compliance. The Director acts as the 'second line of… more
- Beth Israel Lahey Health (Burlington, MA)
- …fee schedule maintenance, denials and customer service for hospital and professional billing . Essential Responsibilities include: Overseeing AR for International ... and Director of Executive - International Health the Specialty Billing Coordinator serves as a primary point of contact...management and AR follow up for both hospital and professional charges. * Analyzes outstanding account receivable and credits… more
- Beth Israel Lahey Health (Charlestown, MA)
- …upon management's request. + Identifies problems in Claims Edit work queue and resubmits claims through the Epic billing system. + Works claims edit ... queue daily and resubmit claims through the Epic billing system + Works External claim...interact with insurance carriers, patients, and co-workers in a professional and helpful manner. Use of billing … more
- Beth Israel Lahey Health (Burlington, MA)
- …to resolve errors prior to claims submission and prevent denials. * Professional & Hospital Billing Denial queues that require insurance follow-up on ... associated with the same patient even if additional charges, claims , or denials are not currently captured on their...Certification & Registration:** Billing Certification Preferred - Epic Resolute Professional /Hospital Billing Admin… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …cross-functional teams, fostering professional growth and collaboration + Utilizing Epic Resolute as the primary billing system and supporting physicians ... you'll oversee a broad scope of operations, including: + Front Desk, Credentialing, Billing , and Claims Management + Ensuring accuracy and timeliness of medical… more