Physician Billing Pro | Claims & Reimbursement Expert

Boston Children’s Hospital; Westwood (MA); Hybrid; USD 75,000 - 105,000; Full time

Job summary

Boston Children’s Hospital is seeking a Physician Billing Specialist to ensure accurate and timely submission of physician claims. The role involves resolving billing questions with patients, insurers, and hospital departments, researching complex issues, and supporting daily operations.

The specialist may train teammates and participate in process improvement projects to raise efficiency and accuracy. The ideal candidate has at least four years of multi-specialty physician billing experience,

Qualifications

• Minimum 4 years in multi-specialty physician billing or equivalent
• Advanced knowledge of electronic claims processing, ERA, electronic payment posting, and clearinghouse functions
• Strong understanding of insurance benefits, coverage, and third-party payer requirements

Responsibilities

• Review and submit physician claims accurately and on time
• Follow up on outstanding claims until resolved
• Communicate with patients, insurance companies, and hospital departments to answer billing questions
• Research complex billing problems and identify causes of claim errors or payment issues
• Review billing trends and recommend improvements to accuracy and efficiency
• Meet department goals and manage daily assignments independently
• Serve as a resource for team members and train staff on billing procedures
• Participate in special projects and process improvement efforts
• Provide professional and helpful customer service

Skills

Physician billing

Insurance processes

Customer service

Problem solving

Team training

Independent work

Education

High school diploma or GED

Job description

Boston Children’s Hospital is seeking a Physician Billing Specialist to ensure accurate and timely submission of physician claims. The role involves resolving billing questions with patients, insurers, and hospital departments, researching complex issues, and supporting daily operations.

The specialist may train teammates and participate in process improvement projects to raise efficiency and accuracy. The ideal candidate has at least four years of multi-specialty physician billing experience,