Senior Physician Billing Associate (Shared Service Center - Westwood)

Boston Children's Hospital • Westwood, MA

103d • Hybrid

About The Position

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.

Requirements

• High school diploma/GED required.
• 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience required.
• Previous EPIC experience preferred.

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.

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 and certain License and Certification Reimbursement
• Cell phone plan discounts
• Discounted rates on T-passes

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED