Pre Service Center Specialist

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $24 - $29 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• Coordinate financial clearance activities through pre-registration, demographic and insurance validation, insurance verification, referrals, authorizations, precertifications, and pre-service cash collections • Monitor and clear registration, referral, and prior authorization work queues • Navigate BMC and payer policies to obtain approvals for scheduled care • Support BMC staff in understanding and resolving financial clearance issues • Obtain and document referral and prior authorization information in Epic and practice management systems • Collaborate with practices, physicians, insurance carriers, patients, case management, Patient Financial Counseling, and other departments • Follow up on management reports and work queues • Resolve registration, insurance verification, referral, and authorization issues; escalate denied or uncleared accounts • Interview patients, families, and referring physicians to obtain financial, demographic, insurance, and reimbursement information • Create complete registration records for new Boston Medical Center patients • Validate eligibility, primary care physician, subscriber, employer, and appointment information • Process copayments, coinsurance, deductibles, and outstanding patient balances • Maintain confidentiality and comply with HIPAA, healthcare collection laws, infection control, safety, and organizational policies • Participate in training, quality audits, continuous improvement, and educational opportunities • Meet productivity, quality, customer service, and telephone-handling standards • Report faulty systems or hardware to the BMC Help Desk and maintain an efficient, safe work area • Perform other related duties as assigned

🎯 Requirements

• High School or equivalent required • At least one year of registration experience • Advanced knowledge of insurance payers and requirements • Strong customer service skills, sound judgment, independent thinking, creativity, and problem-solving ability • Solid understanding of healthcare insurance, healthcare terminology, and CPT/ICD-10 codes • Excellent verbal and written English communication skills • Exceptional interpersonal skills, professionalism, empathy, and relationship-building ability • Ability to work independently, handle ambiguity, take initiative, and balance competing priorities • Close attention to detail and strong decision-making capabilities • Experience with Epic preferred, including proficiency in Epic workqueues • Strong understanding of Revenue Cycle processes and ability to meet productivity and performance standards • Advanced computer proficiency, including Microsoft Office (Excel, Word, Outlook, Teams) and data entry/interpretation • Ability to work cross-functionally and provide backup coverage • Ability to handle challenging situations while maintaining strict confidentiality of personal and health information • Additional professional certifications or Revenue Partners training programs preferred • SDK class training strongly preferred

🏖️ Benefits

• Medical, dental, vision, and pharmacy benefits • Contract increases • Flexible Spending Accounts • 403(b) savings matches • Earned time cash out • Paid time off • Career advancement opportunities • Resources to support employee and family wellbeing • Remote work