Physician Billing Specialist- Hybrid

Boston Children's Hospital; Westwood (MA); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Boston Children's Hospital in Massachusetts is seeking a billing professional responsible for timely submission and collection of physician claims, resolving issues, and delivering strong customer service. The role emphasizes cardiology denial experience and Epic proficiency and requires independent problem-solving and effective collaboration.

You will handle claims with patients, guarantors, insurers, and internal teams, identify billing trends, support process improvements, and train staff.

Qualifications

• 4 years of multi-specialty physician billing or equivalent medical billing experience.
• Strong knowledge of electronic claims processing, remittance advice, posting, clearinghouse functions, and payer requirements.
• High School Diploma or GED required.
• Experience with Epic is preferred.

Responsibilities

• Resolve billing issues with patients, guarantors, insurance carriers, and internal departments.
• Submit and follow up on physician claims to ensure timely and accurate payment.
• Research and resolve complex billing and reimbursement issues.
• Provide positive and effective customer service.
• Identify billing trends and recommend solutions or process improvements.
• Meet productivity and quality goals while managing work independently.
• Assist with special projects and process improvement initiatives.
• Serve as a subject matter expert and train/support new and existing staff.

Skills

Physician billing

Electronic claims processing

Epic

Cardiology denial experience

Customer service

Problem solving

Teamwork

Education

High School Diploma or GED

Tools

Epic

Job description

Position summary

Responsible for the timely and accurate submission and collection of physician claims, resolving billing issues, completing daily workflow, and providing strong customer service. We are specifically looking for someone with cardiology denial experience and Epic experience who can independently troubleshoot complex billing issues, identify trends, and help improve processes. The role requires both independent problem-solving and strong teamwork and collaboration.

Key responsibilities

• Resolve billing issues with patients, guarantors, insurance carriers, and internal departments.
• Submit and follow up on physician claims to ensure timely and accurate payment.
• Research and resolve complex billing and reimbursement issues.
• Provide positive and effective customer service.
• Identify billing trends and recommend solutions or process improvements.
• Meet productivity and quality goals while managing work independently.
• Assist with special projects and process improvement initiatives.
• Serve as a subject matter expert and train/support new and existing staff.

Minimum qualifications

• High School Diploma or GED.
• 4 years of multi-specialty physician billing or equivalent medical billing experience.
• Strong knowledge of electronic claims processing, electronic remittance advice, electronic payment posting, clearinghouse functions, and third-party payer requirements.
• Strong problem-solving, critical thinking, organization, and customer service skills.

Education

High School Diploma or GED required.

Experience

4 years of multi-specialty physician billing or equivalent medical billing experience required.

Schedule

Hybrid. In office once a week

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.