Boston Scientific Customer Billing II - 1st Shift 

United States, Texas, Houston 

317996571

Monday - Friday from 8:30AM - 5PM

Responsible for interfacing with patients, company sales and/or service representatives, ambulatory surgery and implant centers/facilities and insurance carriers to handle a variety of pre-sales and post-sales service functions in the area of customer billing. Obtains patient information and maintains database of patient files. Facilitates communication between insurers, clinics and patients, expediting exchange of required data and dealing with insurance billing problems. Exercises some independent judgment, works on assignments that are semi-routine in nature where ability to recognize deviation from accepted practice is required.

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. This includes:
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:
1 Year with associate degree, or an equivalent combination of education/work experience

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.