Revenue Integrity Specialist, Foundation

• 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.

• High School Diploma/ GED required.

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.