Full-Time
40
Administration
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.
The Senior Physician Billing Associate is responsible for the timely and accurate submission, follow-up, and resolution of physician billing charges and claims. With limited supervision, this position reviews and resolves billing issues, claim edits, denials, appeals, and outstanding balances while ensuring compliance with government and payer regulations and department policies. Epic experience is strongly preferred.
Key Responsibilities
Review and verify patient demographic and insurance information using available technology, payer websites, and communication 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 payer and regulatory timeframes.
Follow up on and resolve outstanding charges and claims.
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, departments, and foundations by phone and other forms of communication.
Assist with training newly hired staff on processes and system navigation.
Identify billing issues and work toward timely and accurate resolution.
Maintain a high level of accuracy while managing daily assignments and priorities.
Minimum Qualifications
Education:
High School Diploma or GED required.
Experience:
Minimum of 2 years of experience in multi-specialty physician billing or equivalent medical billing experience.
Strong knowledge of insurance benefits, coverage requirements, and payer processes.
Experience with electronic claims processing, electronic remittance advice, electronic payment posting, and clearinghouse functions.
Knowledge of insurance authorizations related to medical billing.
Strong attention to detail, organization, problem-solving, and communication skills.
Ability to work independently while also collaborating effectively as part of a team.
Ability to manage multiple priorities and meet established deadlines.
Ability to train and support other team members.
Schedule:
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. Experience the benefits of passion and teamwork.
Westwood
Regular
Part Remote/Hybrid
$21.47-$33.55 Hourly
Boston Children's Hospital is a 404-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Boston Children's offers a complete range of health care services for children from birth through 21 years of age. (Our services can begin interventions at 15 weeks gestation and in some situations we also treat adults.)
We have approximately 25,000 inpatient admissions each year and our 200+ specialized clinical programs schedule 557,000 visits annually. Last year, the hospital performed more than 26,500 surgical procedures and 214,000 radiological examinations.
Our team of physicians and nurses has been recognized by a number of independent organizations for overall excellence, and we're proud to share some notable examples with you here.
