Physician Billing Specialist- Hybrid

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

Job summary

Boston Children's Hospital is seeking a physician billing specialist with Epic experience to ensure timely submission and collection of claims, resolve complex billing issues, and support process improvements. The role requires independent problem-solving and strong teamwork within a hybrid schedule.

Candidates should have 4+ years of multi-specialty physician billing, deep knowledge of electronic claims processing, remittance, and payer requirements, and excellent customer service skills.

Qualifications

• High School Diploma or GED required.
• 4 years of multi-specialty physician billing or equivalent medical billing experience required.
• 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.

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

Billing accuracy

Customer service

Problem solving

Education

High School Diploma or GED

Tools

Epic

Clearinghouse

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