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Revenue Integrity Specialist, Foundation

Job

Boston Children's Hospital

Boston, MA (In Person)

$76,289 Salary, Full-Time

Posted 1 day ago (Updated 6 hours ago) • Actively hiring

Expires 6/28/2026

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Job Description

85338
BR Urology Job Posting Description Position Summary:
Subject matter expert in revenue cycle and all insurance related matters. Works hand in hand with PFS, SSC, Contracting & Pricing, Compliance and Foundation Providers, PER's, Supervisors and Directors to optimize Foundation revenue cycle activities.
Key Responsibilities:
Oversees revenue cycle operations for Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance of internal controls. Reviews charge activity work queues and releases charges from Epic to payers in compliance with Charge Description Master (CDM) with a focus on appropriate capture and reporting of revenue. Analyzes, supports and follows up on complex revenue integrity initiatives. Provides Foundation subject matter expertise for insurance. Assists front end staff on insurance and organizational revenue integrity and charge capture policies and procedures. Coordinates new Attending and Fellow billing and coding training. Acts as the single point of contact for billing compliance and insurance audit escalations as well as annual billing and insurance plan updates. Provides subject matter expertise for contracting and pricing fee schedule updates, plan enrollment and non-covered benefit.
Minimum Qualifications Education:
High School Diploma/ GED required. Status Full-Time Regular, Temporary, Per Diem Regular Standard Hours per Week 40 Pay Range $58676.80-$93901.60 Annual Office/Site Location Boston Job Posting Category Finance, Research Remote Eligibility Part Remote/Hybrid