Financially clear scheduled patients within 48 hours of their office visit and/or procedure. Resolve account issues related to authorizations, registration, eligibility, referrals, and claim denials. Work collaboratively with physician offices, insurance companies, and revenue cycle teams to protect and recover revenue for services provided by Cape Cod Healthcare.
- Troubleshoot and evaluate staff work product and recommend process improvements.
- Support cash flow initiatives and department workflow improvements.
- Partner with patient access, scheduling, business office, vendors, and customers across the enterprise.
- Verify insurance eligibility, obtain referrals and authorizations, and correct registration or billing errors.
- Work assigned queues to resolve denial, authorization, and billing edit issues for timely claim submission.
- Maintain productivity, quality, and compliance with payer, state, and federal requirements.
Requirements & Qualifications
- Associate degree strongly preferred; high school diploma or GED required.
- At least 1 year of experience in a large hospital revenue cycle department, preferably patient access or scheduling.
- Experience with large hospital information systems required; Epic and/or Siemens preferred.
- Strong interpersonal, problem-solving, and critical-thinking skills.
- Proficiency with PC and Outlook applications.
- Strong verbal and written communication skills.
- Knowledge of medical terminology preferred.
- Experience using insurance payer websites preferred.
Benefits & Perks
- Full-time schedule: 40 hours per week.
- Monday through Friday, daytime hours.
- No weekends.
- No holidays.
- Remote/hybrid option available.
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 months ago