Revenue Integrity Specialist, Foundation
85338BR
Urology
Status
Full-Time
Standard Hours per Week
40
Job Category
Finance, Research,
Regular, Temporary, Per Diem
Regular
Pay Range
$58676.80-$93901.60 Annual
Office/Site Location
Boston
Remote Eligibility
Part Remote/Hybrid
Job Posting Description
At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.
Subject matter expert in revenue cycle and all insurance related matters. Works hand in hand with PFS, SSC, Contracting & Pricing, Compliance and Foundation Providers, PER’s, Supervisors and Directors to optimize Foundation revenue cycle activities.
Key Responsibilities:
- Oversees 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 Description Master (CDM) with a focus on appropriate capture and reporting of revenue.
- Analyzes, supports and follows up on complex revenue integrity initiatives.
- Provides Foundation subject matter expertise for insurance.
- Assists front end staff on insurance and organizational revenue integrity and charge capture policies and procedures.
- Coordinates new Attending and Fellow billing and coding training.
- Acts as the single point of contact for billing compliance and insurance audit escalations as well as annual billing and insurance plan updates.
- Provides subject matter expertise for contracting and pricing fee schedule updates, plan enrollment and non-covered benefit.
Minimum Qualifications
Education:
- High School Diploma/ GED required.
The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes 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.
Boston Children’s Hospital is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, gender, sexual orientation, pregnancy, national origin, ancestry, ethnicity, age, disability, military or veteran status or any other classification protected by law in hiring, promotion, compensation and other terms and conditions of employment. Boston Children’s Hospital collects and maintains information regarding gender, race, and ethnicity for equal opportunity compliance purposes. Boston Children’s Hospital also is subject to various government recordkeeping and reporting requirements for the administration of civil rights laws and regulations.
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