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.
This Billing Coordinator - Orthopedics/Sports Medicine will be responsible for:
Billing patients and insurance for medical services
Printing all reports requested by supervisor, manager and/or physicians. Researching insurance or billing questions upon request
Ensuring coverage of the billing office. Adapting to changes in insurance and office requirements when implemented
Collecting, verifying, and recording all necessary information for financial processing of patients. Contacting third party payers regarding financial processing of patients. Investigates patient insurance coverage and obtains authorizations from insurance companies when required.
Performing pre-registration/ registration for patients. Obtaining and processing all required information. Ensuring that proper insurance company, plan choice, prioritization and billing address are assigned in the system. Following up for required referrals and authorizations, and ensures insurance eligibility, coverage and benefits. Logging referrals in the tracking system.
Communicating to the physician offices, service sites and ancillary departments if referrals/authorizations are required
Advising patients and/or family members of payer specific financial obligations prior to admission. Accurately documenting financial obligations of patients in the system.
Advising supervisor/manager of possible postponement of any visit, service and/or admission, which have not been approved prior to the date of service. Maintaining accurate files of pre-processing information, as required.
Self-managing daily processing workload and prioritizes patient accounts to accurately complete work in a timely, efficient manner in order to prevent service delays and payment issues
Entering notes and maintaining document in department/hospital systems. Maintains accurate documentation of interactions with patients, payers, and ensures proper authorization based on type of service.
Handling incoming calls and demonstrates excellent customer service and listening skills when answering calls
To qualify, you must have:
A high school level of educational development and up to 1 year of basic technical training and 1 plus years' of experience. Prior authorizations experience preferred.
The analytical skills to gather and interpret data in situations in which the information or problems are relatively routine
The ability to exchange information on factual matters, schedule appointments, greet visitors, explain hospital policies, and/or relay messages to appropriate personnel
Courtesy and tact when dealing with patients, visitors and/or hospital employees. More sensitive situations may be referred to others as appropriate
Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organization needs
Boston Children's Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounted rates on T-passes (50% off). Discover your best.
Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
Internal Number: 3159851
About Boston Children's Hospital
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.