Revenue Control Rep II

Dana-Farber Cancer Institute Brookline , MA 02445

Posted 4 weeks ago

Overview

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.The Revenue Control Representatives is expected to have an in-depth understanding of revenue cycle operations. Responsible for mail, processing and bank deposit management in an accurate and timely manner. The Representatives will be responsible for the reconciliation and posting of all deposits both electronic and manual into the hospital billing systems. They are expected to review, correct, and distribute all edits. The Representative will work closely with Supervisor and Manager to identify any new denials or transaction codes from the 835 files that need to be updated in the billing system based on HIPAA guidelines.

Responsibilities

  • Identify and reconcile bank deposits made by Third party payers via electronic fund transfers or lockbox

  • Batch checks from lockbox and create batch header worksheets

  • Utilize RDS system to process and reconcile checks received at the DFCI address.

  • Post all electronic (EDI) and manual (non EDI) transactions received by third party payers (i.e. payments, denials, contractual allowances etc)

  • Process & post all payments made by patients at the hospital cashier office and outside departments.

  • Process, track and resolve monthly miscellaneous cash

  • Export and analyze all 835 electronic payment files in preparation of posting,

  • Resolve any edits, PLB, default visits or report issues timely and accurately from all 835 payer files

  • Communicate to supervisor/manager missing remit (EDI 835) files, operational and system issues that arise

  • Process adjustments requests in a timely manner

  • Assists on special projects

  • Process and distribute mail to Patient Accounting and other departments in Finance

  • QA batches for accuracy and reconcile payment batches

  • Adheres to all departmental, institutional, and regulatory policy

  • Other duties as assigned

  • Meet minimum number of posting transaction required

  • Troubleshoot batch posting variances

  • Researches and resolves the complex payment batch variances

  • Train and orient new staff and temporary staff members as needed.

  • Performs detail research on remittance advices and electronic edits, denials and new payer regulations.

Qualifications

  • Bachelor's degree preferred or equivalent work experience

  • Must have knowledge of third party billing regulations and basic knowledge of HIPAA 835. Should have technical aptitude for processing of 835 files.

  • Exhibit good communication skills, be a team player, and be a self starter. Should also be dependable, have the ability to take direction, and be able to follow through.

  • Capable of handling large volume of data, ability to meet deadlines, well organized, and detail oriented.

  • Some medical terminology knowledge may be necessary and experience with Access database, GEIDX and BWH Bic's system.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.


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Revenue Control Rep II

Dana-Farber Cancer Institute