Senior Associate, Physician Billing (Shared Service Center)

Boston Children’s Hospital; Westwood (MA); Hybrid; USD 45,000 - 60,000; Full time

Job summary

Boston Children's Hospital seeks a dedicated billing professional for accurate claims submission and resolution. This hybrid role involves collaboration with peers and management to ensure compliance with payer regulations. Enjoy competitive compensation and extensive benefits that include flexible scheduling and support for professional development.

Benefits

Flexible schedules

Affordable health, vision, and dental insurance

Childcare subsidies

Student loan subsidies

Generous time off

403(b) Retirement Savings plan

Tuition reimbursement

Qualifications

• 2 years of experience in multi-specialty physician billing or equivalent medical billing experience.
• Familiarity with government/payer regulations.
• Experience in handling insurance claims and inquiries.

Responsibilities

• Submit accurate insurance claims and appeals within required timeframes.
• Review and verify demographic and insurance information.
• Resolve outstanding charges and claims efficiently.

Skills

Attention to Detail

Problem Solving

Communication

Education

High school diploma/GED

Tools

EPIC

Job description

Position Summary:
With limited supervision, responsible for the timely and accurate submission of all charges and claims as assigned and required to bring issue/problem identification and investigation through to an accepted/successful resolution. Ensures that daily assignments are complete and that all assigned work is reviewed, submitted, and resolved with the highest degree of accuracy. This is a hybrid position based in our Westwood office and will require an onsite presence of one day per week after training.

Key Responsibilities:

• Reviews and verifies all demographic and insurance information utilizing available technologies, payer websites, or by phone contact with third party payers or guarantors.
• Collaborates with management and peers to ensure all required information is obtained for resolution of charge edits, claim edits, denials, and appeals in a timely manner, while adhering to government/payer regulation and department policy/procedures.
• Prepares and submits accurate insurance claims and appeals to payer within required timeframes and in accordance with government/payer regulations and requirements.
• Resolves outstanding charges and claims responding timely and accurately for resolution of outstanding balance while adhering to department policies/procedures.
• Accepts, rejects, and reconciles claim runs on timely basis and processes payer response reports in an effective and timely manner. Reviews and processes guarantor overpayments per department policies and procedures.
• Responds to inquiries received via telephone and other correspondence from patients/guarantors, insurance carriers, departments/foundations as needed.
• Assist with the training of newly hired staff in process and system navigation.

Minimum Qualifications:
Education:

• High school diploma/GED required.

Experience:

• 2 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.