Physician Billing Specialist (Shared Service Center)

Boston Children's Hospital; Westwood (MA); On-site; USD 60,000 - 90,000; Full time

Job summary

Boston Children's Hospital seeks a Physician Billing Specialist to ensure the accurate submission and collection of physician claims. The role involves significant interaction with patients and insurance, requiring 4 years of relevant experience. This hybrid position emphasizes independence and teamwork, with generous benefits including flexible schedules and health insurance.

Benefits

Flexible schedules

Affordable health, vision, and dental insurance

Childcare and student loan subsidies

Generous levels of time off

403(b) Retirement Savings plan

Pension

Tuition reimbursement

Cell phone plan discounts

Discounted rates on T-passes

Qualifications

• Minimum 4 years of experience in multi-specialty physician billing.
• Previous experience with EPIC preferred.

Responsibilities

• Resolve billing issues and provide effective customer service.
• Participate in process improvement opportunities.
• Act as Subject Matter Expert and train new hires.

Skills

Problem Identification

Customer Service

Initiative

Leadership

Education

High school diploma or GED

Tools

EPIC

Job description

Job Posting Description

At Boston Children's Hospital, the quality of our care - and our inclusive hospital working environment - lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.

Position Summary:
The Physician Billing Specialist is responsible for the timely and accurate submission and collection of all physician claims assigned and is required to bring issue/problem identification and investigation through to an accepted/successful resolution. The Specialist will work with the Billing team to ensure the daily workflow is complete and that all assignments are reviewed, submitted, and resolved with the highest degree of accuracy, which may involve a high level of complexity. This individual should have the ability to take responsibility and perform required tasks independently as well as in a team environment. This is a hybrid position based in our Westwood office and will require an onsite presence one day per week after training.

Key Responsibilities:

• Engage patients or guarantors to resolve billing issues or guarantor responsibility as needed. Responds to inquiries received via telephone and other correspondence for patients/guarantors, insurance carriers, departments/foundations as needed.
• Provides positive and effective customer service that supports departmental and enterprise operations.
• Meets and exceeds short and long-term goals and objectives as established for the work unit. Demonstrates the ability to function independently, shows initiative, and is creative to continuously improve services, processes, and other activities that affect quality and productivity.
• Identify, trend, and communicate effective recommendations for resolution of issues or problems relative to work assignment for department process improvement. Acts as lead for special projects and assignments as identified by management or department on an as-needed basis.
• Acts as Subject Matter Expert to management and department relative to assigned work while leading or participating in the training of new hires and experienced staff in routine and complex billing practices and procedures.
• Participates in process improvement opportunities. Identifies trends and communicates effectively recommendations for resolution of issues or problems related to work assignment for department process improvement.

Minimum Qualifications

Education:

• High school diploma or GED required.

Experience:

• 4 years of experience in a multi-specialty physician billing or equivalent medical billing experience required.
• Previous EPIC experience preferred.

Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare 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.

Boston Children's Hospital requires all employees to be vaccinated against COVID-19 and Flu, (unless you are eligible for a medical or religious exemption).

Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.