Job Closed
This listing is no longer active.
Patient Financial Services Specialist – Hospital Billing
Location
United States
Posted
98 days ago
Salary
$22 - $29 / hour
Seniority
Senior
Job Description
Patient Financial Services Specialist – Hospital Billing
Beth Israel Lahey Health
• Utilizes the Epic Hospital Billing System to review and monitor accounts through the Billing, Denial, & Follow-Up work queues • Work assigned accounts with higher complexity within Hospital Billing, Denial, & Follow Up various work queues while maintaining established productivity requirements • Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was denied or questions why a claim was not processed for payment or denial • Performs all Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/resolution of claims • Review the entire account to ensure claims were billed properly, payments were applied correctly, and all necessary adjustments were made before moving to the next responsible party and/or adjusting balances and removing them from work queue(s) • Gathers all necessary documentation needed to have claims reprocessed/adjudicated • Informs and/or transfers to management of any problem accounts and or denial trends that require escalation within 2 days of identification • Documents all actions taken within the EPIC account notes section and/or follow up/denial activities note sections • Adheres to all Hospital Billing, Follow up, and Denial departmental policies and procedures/training documents • Complete necessary training sessions required for the Hospital Billing system and demonstrate good working knowledge from those sessions to successfully resolve assigned accounts within Follow Up and Denial work queues • Document all inactive periods and make them available upon management's request • Resolves 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 Clearinghouse and resubmits claims through the Epic billing system • Handles Paper claims processing including proper documentation of accounts with higher level of complexity • Communicates all claims/data problems that cannot be handled to the Supervisor/Manager within one (1) day of identifying the problem • Identifies and researches all incomplete or inaccurate information on claims, demonstrates proper handling and escalation as needed • Handles payer 277 rejections on accounts with higher level of complexity and resubmits claims through Epic Billing system or other means of submission and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement
Job Requirements
- At least five (5) years accounts receivable experience required
- Demonstrates excellent attention to detail and prioritization of accounts
- Demonstrates strong working knowledge of Epic Hospital Billing Follow Up and Denial workflows, considered as Subject Matter Expert (SME) to team and other colleagues
- Demonstrates Clear oral and written communication
- Demonstrates Professional telephone & email etiquette
- Demonstrates the ability to interact with insurance carriers, patients, and co-workers in a professional and helpful manner
- Demonstrates higher level use of billing computer and PC skills.
- Demonstrates a higher level of problem solving and decision making skills
- Demonstrates ability to resolve account issues to completion and obtain appropriate payment
- Demonstrates the ability to work independently and efficiently
Benefits
- Health insurance
- Flexible working hours
- Professional development opportunities
Related Guides
Related Categories
Related Job Pages
More Financial Planning and Analysis Jobs
Wealth Planner
Focus Financial PartnersWe are strategic investors in RIAs, providing value-added support, access to capital for growth, and succession planning
Role Description Focus Partners Wealth is looking for an experienced Wealth Planner to work with our clients and help them achieve their short- and long-term financial goals. The ideal candidate will have a strong understanding of complex finances such as investments, security planning, estate planning, tax planning, employee benefits planning, and insurance planning. This role is fully remote. - Conduct client interviews to gather financial information - Analyze financial data to identify planning opportunities - Recommend customized financial plans based on client goals - Monitor financial outcomes and ensure plan effectiveness - Record detailed notes from client meetings - Follow up on meeting deliverables and action items - Respond to inquiries from clients and the VP team - Demonstrate outstanding analytical and problem-solving skills - Exhibit a strong desire to work with and help people - Possess excellent communication and interpersonal abilities - Create business development opportunities through effective plan delivery - Maintain a commitment to delivering excellent results Qualifications - Bachelor’s Degree - 5+ years experience delivering financial plans to prospects/clients - CFP or equivalent - Series 65 or equivalent - Experience with understanding tax planning, reading tax returns, and being able to explain tax details to clients - Exceptional organizational and Outlook Calendar Scheduling/Calendar Management skills - Extensive experience with Zoom or Teams - Ability to multi-task complex client situations with ability to follow up in a timely manner - Professional and courteous demeanor - Excellent follow-through and attention to detail - Ability to work both independently and as part of a collaborative team - Excellent verbal and written communication skills - Ability to handle multiple assignments in a fast-paced environment - Demonstrates computer literacy and competency in utilizing software applications - Proficient in using Planning software (e.g., NaviPlan, Emoney, Money Guide Pro) Requirements This position is an exempt position. Actual base pay may vary based on factors including, but not limited to, experience, subject matter expertise, geographic location where work will be performed, and the applicant’s skill set. The base pay is just one component of the total compensation package. Other rewards may include an annual cash bonus and a comprehensive benefits package, including but not limited to medical, dental, vision, life insurance, and 401(k). Please note that the job title is subject to change based on the selected candidate’s experience and education. Company Description Focus is a leading financial services firm comprised of integrated wealth management, family office, and business management services. Blending deep expertise and expansive resources with a boutique, client-first fiduciary philosophy, Focus helps individuals, families, and institutions navigate complex financial situations with highly personalized solutions tailored to their unique needs. - To learn more about Focus, visit www.focusfinancialpartners.com or follow the company on LinkedIn. - Focus is an equal opportunity employer and bases its employment decisions on the employee or candidate’s skillset, and without regard to an employee or candidate’s race, color, religion, sex (including pregnancy), gender identity, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by local, state and/or federal law. - Focus complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities.
Role Description Focus Partners Wealth is looking for an experienced Wealth Planner to work with our clients and help them achieve their short- and long-term financial goals. The ideal candidate will have a strong understanding of complex finances such as investments, security planning, estate planning, tax planning, employee benefits planning, and insurance planning. This role is fully remote. Primary Responsibilities - Conduct client interviews to gather financial information - Analyze financial data to identify planning opportunities - Recommend customized financial plans based on client goals - Monitor financial outcomes and ensure plan effectiveness - Record detailed notes from client meetings - Follow up on meeting deliverables and action items - Respond to inquiries from clients and the VP team - Demonstrate outstanding analytical and problem-solving skills - Exhibit a strong desire to work with and help people - Possess excellent communication and interpersonal abilities - Create business development opportunities through effective plan delivery - Maintain a commitment to delivering excellent results Qualifications - Bachelor’s Degree - 5+ years experience delivering financial plans to prospects/clients - CFP or equivalent - Series 65 or equivalent - Experience with understanding tax planning, reading tax returns and being able to explain tax details to clients - Exceptional organizational and Outlook Calendar Scheduling/Calendar Management skills - Extensive experience with Zoom or Teams - Ability to multi-task complex client situations with ability to follow up in a timely manner - Professional and courteous demeanor - Excellent follow-through and attention to detail - Ability to work both independently and as part of a collaborative team - Excellent verbal and written communication skills - Ability to handle multiple assignments in a fast-paced environment - Demonstrates computer literacy and competency in utilizing software applications - Proficient in using Planning software (e.g., NaviPlan, Emoney, Money Guide Pro) Requirements This position is an exempt position. Actual base pay may vary based on factors including, but not limited to, experience, subject matter expertise, geographic location where work will be performed, and the applicant’s skill set. The base pay is just one component of the total compensation package. Other rewards may include an annual cash bonus and a comprehensive benefits package, including but not limited to medical, dental, vision, life insurance, and 401(k). Please note that the job title is subject to change based on the selected candidate’s experience and education. Company Description Focus Partners Wealth is an organization of wealth, asset, and business management resources that brings strength, innovation, and partnership to client relationships. Through a comprehensive range of services, Focus Partners Wealth supports clients at every stage of life, helping them manage their financial future. With over $180 billion in regulatory assets under management, Focus Partners Wealth uses research-backed investment strategies to create custom-built portfolios and delivers personalized wealth planning solutions to clients in all 50 states. Focus Partners Wealth is part of Focus Financial Partners, a leading financial services firm comprised of wealth management, family office, and business management services.
Financial Resources Specialist, Entry-Level
vlbpoVLBPO is a next-generation outsourcing partner redefining what world-class Customer Experience should look like.
• Review financial statements, billing records, and supporting documentation to ensure accuracy, completeness, and compliance with program requirements. • Identify inconsistencies, missing information, or errors within financial records and flag them for further review or resolution. • Analyze financial information to ensure data integrity and alignment across multiple documents and systems. • Maintain accurate and organized records of all reviews, findings, and supporting documentation. • Clearly communicate discrepancies and recommendations to internal teams to support timely resolution. • Assist with additional tasks and process-related duties to support overall team efficiency.
• Lead the preparation of standalone and consolidated financial statements in compliance with IFRS and local statutory requirements. • Ensure accuracy and timeliness of monthly, quarterly, and annual reporting deliverables for management and the Board. • Review balance sheet reconciliations and ensure completeness and accuracy of financial data. • Manage intercompany reconciliations and eliminations across multi-entity structures. • Support statutory, tax, and regulatory reporting obligations in UAE, Pakistan, UK, and other relevant jurisdictions. • Ensure compliance with corporate tax, transfer pricing, ESR, and VAT regulations. • Manage multi-currency reporting ensuring accurate consolidation and FX translation under IFRS. • Ensure timely preparation of MIS reporting packs for the Board and senior management, including dashboards and variance analysis. • Prepare management reporting packs (P&L, balance sheet, cash flow, and KPIs) at group and channel levels. • Oversee end-to-end month-end close process, ensuring accuracy, completeness, and adherence to reporting timelines. • Prepare and review accruals, provisions, and adjustments to ensure accurate reporting of financial performance. • Collaborate with FP&A to provide financial reporting data for forecasting, budgeting, and strategic planning. • Maintain strong internal controls around financial reporting processes. • Develop and document accounting policies, ensuring consistency and compliance with best practices. • Coordinate with external auditors during interim and year-end audits. • Lead initiatives to streamline and automate reporting processes through ERP enhancements and BI tools. • Supervise and mentor junior reporting staff, promoting accuracy, accountability, and continuous learning.




