Patient Accounting Follow up Specialist

The primary function of the Patient Accounting Follow-Up Specialist I is the daily management of an assigned portion of the accounts receivable, typically allocated based on payer and alphabetical splits.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations.

We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

PRIMARY DUTIES AND RESPONSIBILITIES:

Under direct supervision, performs tasks related to the daily management of the assigned portion of the accounts receivable:

Reviews claim denials and works with internal departments to provide information necessary to have the claim adjudicated by assigned third-party payer.

Performs follow-up efforts with third-party payers via websites, intermediaries, mail, email, fax, and phone.

Compares payments on open A/R accounts to the related payer contracts to ensure proper payment and adjustment amounts have been posted.

Evaluates open credit balances to ensure proper adjustments have been made or processes third-party refunds when necessary.

Fulfills documentation requests from payers, specifically, medical records, claims, itemized bills, Letters of Agreements, proof of timely filing, appeals and other requests as needed.

Works out of multiple systems as assigned. (i.e., claim scrubber, billing system and payer portals).

Performs other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

Knowledge of software applications, including Microsoft Office and billing software.

Some knowledge of hospital / physician billing software.

Some knowledge of third-party regulations.

Some knowledge of patient accounting regulations.

Ability to work independently and under direct supervision.

Ability to respond to clients and proactively anticipate their needs.

Ability to set a positive example for others by following high ethical standards.

Ability to seek ways to support team efforts while contributing to overall organizational success.

MINIMUM JOB QUALIFICATIONS:

Minimum Education:

High school diploma or GED required.

Minimum Experience :

1 year in a hospital and/or physician office with insurance claims follow-up experience required.

Access Management (scheduling, registration, financial clearance), coding and denial management experience preferred.

License/Certification/Registration:

N/A At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we.

If working in this kind of organization inspires you, we encourage you to apply.

EEO Poster

. Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).

$47,500.00 - $53,600.00