Sr. Physician Billing associate

Boston Children’s Hospital; Westwood (MA); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

flexible schedules

affordable health

vision and dental insurance

child care and student loan subsidies

generous time off

403(b) Retirement Savings plan

Pension

Tuition and Certification Reimburse

cell phone plan discounts

discounted rates on T-passes

Job summary

Boston Children’s Hospital is seeking a Sr. Physician billing associate to ensure timely, accurate submission of charges and claims. You will investigate billing issues and drive resolutions with a focus on accuracy and efficiency.

Responsibilities include reviewing demographics, collaborating on edits and appeals, and communicating with patients, guarantors, and insurers. Hybrid work schedule with full-time hours supports critical pediatric billing operations.

Qualifications

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

Responsibilities

• Review demographic and insurance information with payer and guarantor contact as needed.
• Collaborate to resolve charge edits, claim edits, denials, and appeals with team members.
• Prepare and submit accurate insurance claims and appeals within required timeframes.
• Resolve outstanding charges and process payer response reports and guarantor overpayments.
• Respond to inquiries from patients, guarantors, and internal departments; train new staff.

Skills

Medical billing

Denials management

Appeals processing

Education

High School Diploma or GED

Tools

Payer websites

Billing software

Job description

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

Boston Children's Hospital offers competitive compensation and unmatched benefits including 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.

• 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
• discounted rates on T-passes