Accounts Receivable Follow Up Biller

Cambridge Health Alliance - Malden, MA

Full-time - Mid Level

Malden, MA

Hospitals

About the position

The Accounts Receivable Follow Up Biller at Cambridge Health Alliance is a vital role within the Patient Financial Services Management team. This full-time position is based in Malden, MA, and operates on a day shift schedule from Monday to Friday. The primary responsibility of the Biller is to manage a variety of billing tasks associated with all types of claims, which includes third-party billing and collections for Inpatient, Outpatient, and Observation claims. The role requires proficiency in handling electronic, paper, and telephone inquiries to ensure accurate and timely billing processes. In this position, the Biller will review account work queues and take necessary actions on errored accounts, such as Do Not Bills (DNBs) and Claim Edits. They will also refer accounts that require further review or correction to various departments, including Health Information Management (HIM), Patient Access, Revenue Integrity, and Clinical Departments. A critical aspect of the job involves performing eligibility verifications using systems such as Epic, Passport, and MMIS, as well as any payer-specific portals. The Biller will be responsible for correcting and resubmitting claims in Epic, processing late charges and credits, and resolving accounts in the A/R Follow-up Work Queue, which includes handling denials, no responses, and unresolved accounts through various actions like claim resubmissions, appeals, and direct communication with payers. The ideal candidate will have a strong background in medical billing and claims processing, with 3-5 years of relevant experience. While hospital accounts receivable billing and follow-up experience is preferred, functional experience with Windows and Google applications is required, along with familiarity with EPIC. Cambridge Health Alliance is committed to fostering a diverse and inclusive workplace, ensuring that all employees are treated with respect and dignity, free from discrimination based on any protected characteristic. The organization values its employees and offers competitive salaries, benefits, and professional development opportunities, emphasizing the importance of equity and excellence in healthcare delivery.

Responsibilities

• Review account work queues and take necessary action on errored accounts, such as DNB's and Claim Edits.
• Refer accounts requiring review or correction to various departments, such as HIM, Patient Access, Revenue Integrity, Clinical Departments, or other areas as necessary.
• Perform necessary eligibility verification in Epic, Passport, MMIS and any/all payer specific portals.
• Correct and resubmit claims in Epic.
• Process late charges and late credits.
• Resolve accounts in the A/R Follow-up Work Queue (Denials, No Response & Unresolved accounts) through a variety of actions including claim resubmissions, appeals and phone calls to payers.

Requirements

• 3-5 years prior Medical billing/claims processing experience required.
• Hospital Accounts Receivable billing, follow-up and analytics experience preferred.
• Functional experience with Windows/Google applications (required) and EPIC (preferred).

Benefits

• Competitive salaries
• Professional development opportunities
• Comprehensive health benefits
• Supportive work environment
• Commitment to diversity and inclusion