Boston Scientific Customer Billing IV 

United States, Texas, Houston 

701741252

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 experience

Preferred Qualifications

• 5+ Years Prior Medical Collections Experience.
• Prior Team Lead or Supervisory Experience Preferred
• Knowledge of Claims processing and adjustments
• Knowledge of Medicare, Medicaid, and Commercial carriers Claim Processing and Appeals regulations
• Excellent communication and organizational skills
• Ability to calculate insurance benefits and write appeal letters (using templates)
• Ability to read and understand Explanation of Benefits.
• Insurance verification
• Basic Benefit Coordination
• Knowledge of Medicaid or Medicare
  

Among 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.

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.