Revenue Cycle Business Partner I

Job not on LinkedIn

🔥 5 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $62.5k - $91k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🪙 Affiliate Manager

🚫👨‍🎓 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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Compile, analyze, and interpret revenue cycle data to identify trends, patterns, and process-improvement opportunities • Generate reports and dashboards tracking billing, collections, and reimbursement KPIs • Provide analytical insights and recommendations to optimize revenue cycle performance • Review and collaborate with vendors on late charges, including late charge and late replacement claims with appropriate Type of Bill • Participate in internal audits and quality assurance activities • Review, reconcile, and correct clearinghouse edits, including complex accounts or payers • Contact insurance companies, government agencies, patients, and other customers by phone, email, or correspondence to support claim submission and resubmission • Use insurance and third-party websites to gather required information • Answer billing and payment questions • Document correspondence and conversations in patient accounts or phone logs • Review no-response work queues with third-party payer vendors to resolve outstanding claims • Research account histories, patient encounters, charts, charge and payment histories, account and claim status changes, and payer remittance advice • Research underpaid claims and contract discrepancies; escalate Epic or legacy contract-management issues • Review account balances, resolve discrepancies, attach documentation, amend account data, gather information, and resubmit corrected claims • Forward denials to appropriate Epic work queues or outsourced business partners • Monitor Medicare, Medicaid, Health Safety Net, and RAC policy updates and raise concerns • Monitor and update outstanding accounts receivable balances in Epic for insurance, self-pay, and credits • Report workgroup-impacting changes to management • Advise management of potential compliance issues • Attend in-services and payer seminars and maintain current regulatory documentation

🎯 Requirements

• Bachelor’s degree in Business/Healthcare related field preferred or equivalent combination of formal education and work experience • 2 to 3 years of on-the-job training or experience in healthcare billing and collections, including Medicare, Medicaid, Blue Cross, HMO, and commercial insurance • Knowledge of healthcare billing and collection processes, federal and state collection laws, legal collection practices, and collection techniques • Knowledge of and experience with Epic Resolute preferred • General knowledge of medical billing and collections processes preferred • General knowledge of healthcare terminology preferred • Knowledge of contracted payers preferred • Proficiency in Microsoft Suite, specifically Excel, Word, and Outlook • Technical proficiency within Resolute Hospital and Professional billing and ability to navigate Epic modules for account research • Ability to navigate payer websites and portals for remittance research and information gathering • Proficiency with medical billing and remittance forms and processes, including 835 and 837 files and UB04 and CMS-1500 (HCFA) forms • May require proficiency with BMC’s legacy systems • Must adhere to BMC’s RESPECT behavioral standards • Must maintain knowledge of applicable billing regulations, HIPAA privacy and security regulations, and relevant state and federal laws • Certificates, licenses, and registrations: None

🏖️ Benefits

• Medical, dental, vision, and pharmacy benefits • Discretionary annual bonuses • Merit increases • Flexible Spending Accounts • 403(b) savings matches • Paid time off • Career advancement opportunities • Resources to support employee and family well-being