Revenue Cycle Business Partner I

Boston Medical Center (BMC)

. Compile, analyze, and interpret revenue cycle data to identify trends, patterns, and process-improvement opportunities .

Posted 10/27/2026full-timeRemote • Massachusetts • United StatesJuniorMid-Level💰 $62,500 - $91,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare billing and collections, including proficiency in Epic Resolute and knowledge of federal and state collection laws. Capable of analyzing revenue cycle data to optimize performance and ensure compliance with billing regulations.

Highest-signal resume keywords

Healthcare Billing And CollectionsEpic Resolute ProficiencyRevenue Cycle AnalysisKnowledge Of Federal And State Collection LawsProficiency In Microsoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Revenue Cycle Data AnalysisMedical Billing ProcessesClaims Submission And ResubmissionClearinghouse Edits ReconciliationRemittance ResearchBilling And Payment Questions ResolutionContracted Payer KnowledgeProficiency With 835 And 837 FilesUB04 And CMS-1500 Forms KnowledgeTechnical Proficiency In Resolute Billing

Soft Skills

Analytical InsightsCollaboration With VendorsCommunication With Insurance CompaniesAttention To DetailProblem-Solving

Tools & Technologies

Epic ModulesMicrosoft SuitePayer Websites And PortalsBMC Legacy Systems

Industry Keywords

MedicareMedicaidHealthcare TerminologyBilling RegulationsHIPAA ComplianceQuality Assurance ActivitiesLate Charge ClaimsAccount ReconciliationOutstanding Accounts ReceivableCompliance Issues

About the role

Key responsibilities & impact

Compile, analyze, and interpret revenue cycle data to identify trends, patterns, and process-improvement opportunities
Generate reports and dashboards tracking billing, collections, and reimbursement KPIs
Provide analytical insights and recommendations to optimize revenue cycle performance
Review and collaborate with vendors on late charges, including late charge and late replacement claims with appropriate Type of Bill
Participate in internal audits and quality assurance activities
Review, reconcile, and correct clearinghouse edits, including complex accounts or payers
Contact insurance companies, government agencies, patients, and other customers by phone, email, or correspondence to support claim submission and resubmission
Use insurance and third-party websites to gather required information
Answer billing and payment questions
Document correspondence and conversations in patient accounts or phone logs
Review no-response work queues with third-party payer vendors to resolve outstanding claims
Research account histories, patient encounters, charts, charge and payment histories, account and claim status changes, and payer remittance advice
Research underpaid claims and contract discrepancies; escalate Epic or legacy contract-management issues
Review account balances, resolve discrepancies, attach documentation, amend account data, gather information, and resubmit corrected claims
Forward denials to appropriate Epic work queues or outsourced business partners
Monitor Medicare, Medicaid, Health Safety Net, and RAC policy updates and raise concerns
Monitor and update outstanding accounts receivable balances in Epic for insurance, self-pay, and credits
Report workgroup-impacting changes to management
Advise management of potential compliance issues
Attend in-services and payer seminars and maintain current regulatory documentation

Requirements

What you’ll need

Bachelor’s degree in Business/Healthcare related field preferred or equivalent combination of formal education and work experience
2 to 3 years of on-the-job training or experience in healthcare billing and collections, including Medicare, Medicaid, Blue Cross, HMO, and commercial insurance
Knowledge of healthcare billing and collection processes, federal and state collection laws, legal collection practices, and collection techniques
Knowledge of and experience with Epic Resolute preferred
General knowledge of medical billing and collections processes preferred
General knowledge of healthcare terminology preferred
Knowledge of contracted payers preferred
Proficiency in Microsoft Suite, specifically Excel, Word, and Outlook
Technical proficiency within Resolute Hospital and Professional billing and ability to navigate Epic modules for account research
Ability to navigate payer websites and portals for remittance research and information gathering
Proficiency with medical billing and remittance forms and processes, including 835 and 837 files and UB04 and CMS-1500 (HCFA) forms
May require proficiency with BMC’s legacy systems
Must adhere to BMC’s RESPECT behavioral standards
Must maintain knowledge of applicable billing regulations, HIPAA privacy and security regulations, and relevant state and federal laws
Certificates, licenses, and registrations: None

Benefits

Comp & perks

Medical, dental, vision, and pharmacy benefits
Discretionary annual bonuses
Merit increases
Flexible Spending Accounts
403(b) savings matches
Paid time off
Career advancement opportunities
Resources to support employee and family well-being