Senior Physician Billing Specialist

1 week ago


Westwood, Massachusetts, United States Boston Children's Hospital Full time
Job Summary

Boston Children's Hospital is seeking a highly skilled Senior Physician Billing Associate to join our team. As a key member of our medical billing operations, you will be responsible for ensuring accurate and timely submission of insurance claims and appeals.

Key Responsibilities
  • Insurance Claim Management: Review and verify demographic and insurance information, prepare and submit accurate insurance claims and appeals within required timeframes.
  • Denial and Appeal Management: Collaborate with management and peers to resolve insurance denials and appeals in a timely manner, adhering to government/payer regulations and department policies/procedures.
  • Charge Resolution: Resolve outstanding charges and claims, responding timely and accurately to resolve outstanding balances while adhering to department policies/procedures.
  • Customer Service: Respond to inquiries received via telephone and other correspondence from patients/guarantors, insurance carriers, and departments/foundations as needed.
Requirements
  • Education and Experience: High School diploma or equivalent and a minimum of 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience is required.
  • Skills and Abilities: 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, and ability to identify problems and issues of varying complexities and to find effective solutions with few guidelines.
What We Offer
  • Competitive Compensation: Boston Children's Hospital offers competitive compensation and benefits packages.
  • Professional Growth: Opportunities for professional growth and development in a dynamic and supportive environment.
  • Teamwork: Collaborative and inclusive team environment that values diversity and promotes a culture of excellence.


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