Specialty Billing Coordinator, Lahey Health Shared Services

Burlington, MA
• Lahey Hospital and Medical Center
• Full-time
• Day When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Specialty Billing Coordinator will support the Lahey Health Shared Services Department. The role will be based in Burlington, MA and will offer the ability to work primarily remotely once fully trained.

Job Description:

Under the managerial oversight of the Manager of Customer Service and Director of Executive – International Health the Specialty Billing Coordinator serves as a primary point of contact for Executive clients and International payers of Lahey Hospital & Medical Center (LHMC).The Patient Financial Services (PFS) Coordinator’s overall responsibility is to manage the Client Account Services, Revenue and Payments for both departments.

This includes but is not limited to, registration, estimates, collections for self-pay services, account initiation and coordination, claims submission, fee schedule maintenance, denials and customer service for hospital and professional billing.

Essential

Responsibilities include:

Overseeing AR for International and Executive Client Accounts, this includes:

Works closely with Revenue Cycle Team to ensure accurate compliant claim submissions, denial management and AR follow up for both hospital and professional charges.

Analyzes outstanding account receivable and credits and ensures that these are maintained at the levels expected by Revenue Cycle Leadership.

Analyze reimbursement to insure accurate payments

Work with clinical leadership as needed to coordinate client accounts and services.

Responds to Payer requests relative to reimbursement issues, rejections, and or billing problems.

Establishes and maintains effective working relationships with Lahey revenue cycle, clinical departments and administrative leadership in regards to the Executive and International Client Billing.

Providing estimates for clients within the International Department and ensuring collection of payments. This includes collections for the Health Safety Net surcharge which is mandated under The State of Massachusetts.

Interacts with designated Government agencies (International accounts) and company personal (Executive Health) to ensure compliance with federal and local regulations, timely payments and management of AR.Works with leadership in regards to internal policy and procedures to ensure optimized efficiency.

Communicate with clinical and revenue leadership regarding analysis of services and discovered issues resulting in denials, or process improvements needed for workflow.

Works as liaison to the Executive Client companies and the International patients regarding complex billing issues that may need escalation to the appropriate management team with LHMC.
• Works closely with Revenue Cycle Analyst team to optimize the use of Epic and increase efficiency.

Minimum Qualifications:

Education:

Bachelor degree. In the absence of a Bachelor’s degree, 6 years of experience over and above the experience requirement listed below.

Experience:

Five years experience in a Patient Financial Services organization.

Three years supervisory experience in a Patient Financial Services organization, or four years in a Lead position within Patient Financial Services organization of similar size and scope.

Skills, Knowledge & Abilities:

Comprehensive understanding and knowledge of the Center for Medicare and Medicaid Services (CMS) coding, billing and compliance requirements. Working knowledge of patient financial services activities including the HCPCS coding system, the ICD-9 coding system, revenue, claims, denials and collection practices. Must have a high level of analytical skill, process improvement abilities,…