Additional Location(s):N/ADiversity - Innovation - Caring - Global Collaboration - Winning Spirit - High PerformanceAt Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing – whatever your ambitions.1st shift hours - Monday - Friday 8:00 AM - 5:00 PMAbout the role: Maintain a complete collection of accounts receivable for area of expertise. This includes following accounts through the revenue cycle, from charge review, claim edits, claim submission, and follow up with third party payers and patients to facilitate prompt resolution of outstanding account balances. Your responsibilities will include:Resolve claim edits via claim edit work queues and/or our external billing software.Review charges to ensure accurate filing to correct guarantor.Analyze and reconcile denied payment transactions. Compile and file all information needed to appeal denials.Follow federal and state regulations to ensure compliance standards are met.Monitor timely filing requirements on claims and appeals.Follow-up with contracted payers to secure payments on outstanding balances.Evaluate third party payments to ensure accuracy relative to contract language (underpayment/overpayment)Required qualifications:6 Years with Associate in Arts degree/diploma, or an equivalent combination of education/work experiencePreferred Qualifications5+ Years Prior Medical Collections Experience.Prior Team Lead or Supervisory Experience PreferredKnowledge of Claims processing and adjustmentsKnowledge of Medicare, Medicaid, and Commercial carriers Claim Processing and Appeals regulationsExcellent communication and organizational skillsAbility to calculate insurance benefits and write appeal letters (using templates)Ability to read and understand Explanation of Benefits.Insurance verificationBasic Benefit CoordinationKnowledge of Medicaid or MedicareRequisition ID:583615Among other requirements, Boston Scientific maintains specific prohibited substance testing requirements for safety-sensitive positions. This role is deemed safety-sensitive and, as such, candidates will be subject to a drug test as a pre-employment requirement. The goal of the drug testing is to increase workplace safety in compliance with the applicable law. As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.So, choosing a career with Boston Scientific (NYSE: BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. Boston Scientific is proud to be an equal opportunity and affirmative action employer.Boston Scientific maintains a prohibited substance free workplace. Pursuant to Va. Code § 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.
