The Primary function of the Patient Accounting Reimbursement Specialist is the daily management of the Retail Pharmacy???s accounts receivable (A/R) and Specialty Receivables management. Specialty receivables include Client Billing, Vendor Management and International Billing and Follow Up. Basic responsibilities include A/R Management, Unapplied Cash tracking, Payment Reconciliation and Past Due collections.?? Additional tasks include Vendor Management, Processing of invoices and maintenance the retail pharmacy billing system. ??Specialist maintains files as necessary for reference and keeps informed on updated contracts and expected reimbursement for payers. Retrieves data and maintains reports from the Patient Accounting and Pharmacy vendor systems. Assists staff members as necessary in aspects of appropriate follow up procedures and remit file resolution. Performs other duties as assigned and adheres to compliance of all Departmental, Institutional, and Regulatory policy.??

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Retail Pharmacy A/R Management:

• Responsible for initiating daily, weekly and monthly trending reports including, but not limited to:
  • Unapplied Cash Report
  • AR Over 90 Days Report
  • Total Deposits Report
• Monitors the Unapplied Cash Balance and ensures timely resolution.
• Reconciles account and claim information between the McKesson Pharmaserve and Inmar systems.
• Acts as PFS liaison to address retail Pharmacy and Pharmacy vendor issues:
  • Participates in Bi-Weekly Retail Pharmacy Meetings with external stakeholders.
  • Participates in Monthly Internal Retail Pharmacy Meetings.
  • Identifies A/R trends and reports to Inmar for further review and resolution.
• Accountable for monitoring Pharmacy vendor accuracy and timeliness.
• Ensures payments are being applied timely and works with Revenue Control to identify and post missing payment files.

Specialty Receivables Management:

• Responsible for identifying inappropriate denials and reports problem/questionable accounts to management.
• Creates International Embassy invoices in accordance with embassy specific requirements:
  • Stays apprised of billing requirement changes and embassy expectations.
  • Follows the DFCI International Invoice checklist.
  • Manages outstanding International A/R by performing payment follow up and confirming receipt of invoices
  • Maintains an electronic invoice database for each Embassy.
• Performs A/R follow up on Third-Party Client Accounts:
  • Includes Hospice and Skilled Nursing claims.
• Coordinates Vendor Management Activities for Outsourced A/R, including:
  • Invoice reconciliation
  • Attends Vendor calls and meetings to stay informed of high level issues.
  • Tracks Vendor Productivity
  • Open denial and A/R trending

MINIMUM JOB QUALIFICATIONS:

• Prior billing experience required (2 years minimum) in hospital and /or professional setting or proven relevant experience.
• Experience within an office setting, preferably a hospital billing office.
• Experience working with various software applications, including Microsoft Office and billing software preferred.
• Experience with Patient Accounting applications such as Epic, McKesson and NThrive- Xclaim.
• Well organized, detail-oriented and dependable.??

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Knowledge of Third-Party billing regulations.
• Knowledge of Patient Accounting regulations.
• Excellent/professional communications skills including both verbal and written skills.
• Team player, self-starter-leader, ability to establish priorities.
• Performs primary duties above as directed and requires moderate supervision.
• Ability to take direction and deliver on-time results.
• Capable of handling large volumes of data, ability to meet deadlines and ability to assist/train other personnel.

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong.?? As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff.?? Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

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.