Date Posted: 06/26/2024

Requisition Number: 7971

Location: Commerce Place 

Work Days: M-F; hybrid  

Category: Clerical and Administrative Support  

Department: Hospital Billing AR Follow Up  

Job Type: Full time  

Work Shift: Day 

Hours/Week: 40.00 

Union: Yes 

Union Name: CH Laborers 380

 Under the direction of Patient Financial Services Management, the Accounts Receivable Follow Up Biller is responsible for performing a variety of billing tasks for all types of claims, as necessary and can include performing third party billing and collections for Inpatient, Outpatient and Observation claims via electronic, paper and telephone inquiries. 

Key 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 depts, 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, but not limited to claim resubmissions, appeals and phone calls to payers

Qualifications: 

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).

 
In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.
 

Cambridge Health Alliance brings Care to the People - including your neighbors, friends and family. Our local hospitals and care centers serve our vibrant, diverse communities, and play an integral role in improving health. As passionate advocates for the underserved, we actively partner with our communities to take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe that everyone deserves access to high quality, convenient health care. This is why our employees believe in where they work and why many build long, rewarding careers at CHA.

Healthcare is changing rapidly. CHA has a strategic plan that charts a proactive course for our future. It is built on a vision of equity and excellence for everyone, every time. It also recognizes that our workforce is our most valuable asset and prioritizes competitive salaries, benefits and professional development opportunities for employees. The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.

At CHA, you can believe in where you work and go home every day knowing you made a difference. Join our team and help us bring Care to the People.