To function as a member of the administrative team and complete all daily tasks to ensure smooth day-to-day operations in busy practice located in Brighton, MA.
Position: Billing Coordinator
Department: Outpatient Psychiatry
Schedule: Fulltime, 7:30am - 4:30pm
Enter technical and professional charges electronically
• Assure the final diagnoses and procedure codes as stated by the physician are valid and complete with the guidance of the system edits and reports
• Obtain any necessary clarification of information on the notes and charts
• Prepare the appropriate claims documents required by each insurer
• Perform all charge follow-up such as edits, submission of supporting documents, correction of codes, incorrect balance, or incorrect demographics
• Submit, organize and track all insurance claims filed by the health care provider
• Follow up until payment is received and manage collections activities when necessary
• Answers, triages, and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member received the information. Provides routine information to callers. This often includes answering patient questions on billing and routing and/or handling collections if a patient fails to meet his or her financial obligations.
• Collect co-payments and balances
• Supports cross coverage for front desk which includes greeting patients, completing patient check-ins and answering the phones.
• Obtain prior authorizations/approvals for outpatient services as needed
• Schedules patients' appointments and appropriate testing for patients as directed.
• Verifies information from patients including demographic and health insurance information
• Prepares documents for billing physician encounters; enters data, ensures that referrals are received, etc.
• Organizes and updates files, charts, and records
• Responsible for stocking of supplies and assists in ordering supplies
• Performs other duties as requested
Knowledge, Skills and Abilities:
- Experience with electronic medical record strongly preferred (Athena and Meditech a plus)
- Experience with Microsoft Office, Word, Excel and Outlook
- Solid communication and interpersonal skills, ability to communicate with tact, courtesy and professionalism, and full understanding of HIPAA guidelines
- Advanced knowledge of medical terminology, codes and abbreviations
- Must possess strong organizing and prioritizing skills
- Ability to work independently and handle multiple priorities within a high-pressure environment
Education/Experience
- Education from approved medical administrative program or equivalent
- High School Diploma or equivalent
- 1 to 3 years of experience as a Medical Biller
- Billing and Coding certificate preferred
Equal Opportunity Employer/Disabled/Veterans
Top Skills
What We Do
Boston Medical Center, located in Boston’s historic South End, is a private, not-for-profit, 567-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine.
Recognized for its high-quality, nationally ranked and comprehensive medical care for the entire family, patients have access to the most current treatment and advancements at BMC. BMC physicians lead the way in pioneering new therapies that impact the care of patients locally and worldwide.
In 2013, BMC made the decision to invest in a four-year campus redesign that includes additions to buildings, upgrades to existing structures, and an expansion of the Emergency Department. Once completed, the redesign will provide clinical workspaces with state-of-the-art facilities and equipment to solve BMC's most pressing care delivery needs.
Already complete, the hospital’s Shapiro Center is Boston’s newest outpatient care facility and features a quarter-million square feet of clinic space, key support services, one of the region’s most technologically advanced pharmacies, and a bright, spacious café. Housed in a facility that provides world-class, patient-centered care at every visit, BMC doctors are among the best in their field. Many are recognized annually as “Top Doctors” in their medical and surgical specialties by publications such as U.S. News & World Report and Boston magazine.
Boston Medical Center is also the largest safety net hospital in New England and extends into the community as a founding partner of Boston HealthNet, a network of 15 community health centers throughout Boston serving more than a quarter million people annually.
No matter whom you meet at BMC, all are committed to providing every patient and family member with the highest quality of care, respect, warmth and compassion.
