Account Resolution Specialist

Houston, TX, US, 77001        ·         Full time

Boston Scientific’s hybrid workplace includes remote and onsite roles. By applying to this position, you will have the opportunity to discuss your preferred working location with your Talent Acquisition Specialist.

Remote Eligible:  Onsite
Onsite Location(s):  Houston, TX, US, 77001
Hiring Manager: [[Katina Kearney]]
Recruiter: [[Susan Blair]]

About the role:

Account Resolution Specialist is responsible for providing a great customer experience while working to collect and negotiate terms of repayment on outstanding account balances. In a high-volume environment, works in a professional, customer-centered way; taking inbound calls, making outbound calls, and using an auto-dialer or direct dial system to determine why a call is delinquent. Provides exceptional service while being compassionate to patients.

Your Responsibilities will Include:

• Provide reconciliation of customer accounts and resolve outstanding balance issues. Identify and submit credit memos.
• Establish relationships with customers to encourage faster pay.
• Ability to maintain a high volume of phone calls.
• Communicate and follow up effectively with other RCM departments regarding customer accounts on a timely basis.
• Work with both Sales and the customer in the resolution of disputed balances.
• Suggest account adjustments, small balance write offs and escalate uncollected balances for write offs.
• Meet defined department goals and activity metrics.
• Responsible for requesting, tracking and trending overpayment recoveries and adjustments for voided checks and refunds. 
• Interprets and utilizes contract and benefit information to accurately process managed care claims for all lines of business, including COB adjudication. 
• Responsible for Provider Dispute Resolution acknowledgements, ensuring responses are within CMS & DMHC guidelines.
• Investigates and presents complex cases to management for resolution. 
• Interfaces with other departments to resolve eligibility, referral and Network Management related claim issues. 
• Responsible for claim adjustments on previously processed claims related to a member out of pocket share cost.
• Other duties as assigned.

What We’re Looking For In You:

Minimum Qualifications

• High School Diploma 
• 1-3 years relevant business experience or an equivalent combination of education, training, and experience.

Preferred Qualifications

• Must have minimum of 3 years’ experience in a Customer Service call enter environment with a focus on healthcare billing/collections or collection agency environment or 3 years’ experience working in a client service, preferably in a healthcare environment.
• PC skills in a Windows environment are required. Solid knowledge and utilization of desktop applications to include Word and Excel are essential. 

Requisition ID: 560076

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

Nearest Major Market: Houston

Please click here to apply.