Sr. Physician Billing associate

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

Benefits offered by this job

Flexible schedules

Health insurance

Vision insurance

Dental insurance

Child care subsidies

Student loan subsidies

403(b) Retirement Savings plan

Pension

Tuition reimbursement

License/Certification reimbursement

Cell phone discounts

Discounted T-passes

Job summary

Boston Children’s Hospital is seeking a Sr. Physician billing associate to ensure timely and accurate submission of charges and claims, resolve billing issues, and support daily operations in a hybrid schedule.

With at least 2 years of physician billing experience and a high school diploma, you will collaborate with management, train new staff, and maintain high accuracy while handling denials, appeals, and guarantor inquiries.

Qualifications

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

Responsibilities

• Review and verify demographic and insurance information with payer websites and guarantors.
• Collaborate with management and team members to resolve charge edits, claim edits, denials, and appeals.
• Prepare and submit accurate insurance claims and appeals within required timeframes and regulations.
• Resolve outstanding charges and claims and address balances promptly.
• Accept, reject, and reconcile claim runs and process payer response reports.
• Review guarantor overpayments and reconcile according to policies.
• Respond to inquiries from patients, guarantors, insurers, and internal departments.
• Assist with training newly hired staff on processes and navigation.
• Maintain high accuracy, organization, and reliability in daily assignments.

Skills

Physician billing

Charge submission

Denials & appeals

Customer service

Education

High School Diploma or GED

Job 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 contribution can change lives. Yours included.

Position summary

With limited supervision, the Sr. Physician billing associate is responsible for the timely and accurate submission of all charges and claims as assigned. Identifies and investigates billing issues and works them through to a successful resolution. Ensures daily assignments are completed and all assigned work is reviewed, submitted, and resolved with a high degree of accuracy.

Key responsibilities

• Review and verify demographic and insurance information using available technology, payer websites, and phone contact with third-party payers or guarantors.
• Collaborate with management and team members to obtain information needed to resolve charge edits, claim edits, denials, and appeals.
• Prepare and submit accurate insurance claims and appeals within required timeframes and in accordance with payer and government regulations.
• Resolve outstanding charges and claims and address outstanding balances accurately and promptly.
• Accept, reject, and reconcile claim runs and process payer response reports.
• Review and process guarantor overpayments according to department policies and procedures.
• Respond to inquiries from patients, guarantors, insurance carriers, and internal departments or foundations by phone and other correspondence.
• Assist with training newly hired staff on processes and system navigation.
• Maintain a high level of accuracy, organization, and reliability while managing daily assignments and priorities.

Minimum qualifications

Education

High School Diploma or GED required.

Experience

2 years of experience in multi-specialty physician billing or equivalent medical billing experience.

Schedule

full time. 8-5 M-F Hybrid

Benefits

• flexible schedules
• affordable health
• vision and dental insurancechild 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
• discounted rates on T-passes

Pay range

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.