Senior Physician Billing Associate (Shared Service Center – Westwood)

Location/Schedule: Westwood, MA. Hybrid/Remote – 1 day/week in office after completion of training.

The Senior Physician Billing Associate shall be responsible for:

• Reviewing and verifying all demographic and insurance information utilizing available technologies, payer websites, or by phone contact with third party payers or guarantors
• Collaborating with management and peers to ensure all required information is obtained for resolution of insurance denials, and appeals in a timely manner, while adhering to government/payer regulation and department policy/procedures
• Preparing and submitting accurate insurance claims and appeals to payer within required timeframes and in accordance with government/payer regulations and requirements
• Resolving outstanding charges and claims responding timely and accurately for resolution of outstanding balance while adhering to department policies/procedures
• Responding to inquiries received via telephone and other correspondence from patients/guarantors, insurance carriers, departments/foundations as needed.

To qualify, you must have:

• High School diploma or equivalent and min of 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience is required.
• Previous EPIC experience highly preferred.
• Attention to detail, good organizational skills, ability to meet priorities within set timeframes, and ability to work as part of a team
• Applies critical and strategic thinking
• Thorough knowledge and understanding of benefits and/or coverage as indicated by third party payer requirements
• Knowledge of insurance authorizations in relation to medical billing
• Ability to identify problems and issues of varying complexities and to find effective solutions with few guidelines
• Demonstrates professional integrity

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.

#LI-Hybrid