Senior Physician Billing Associate (Shared Service Center - Westwood) - Boston Children's Hospital
Boston, MA
About the Job
Hybrid/Remote - 1 day a week in office at Westwood location
The Senior Physician Billing Associate shall be responsible for:
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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.
- 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.
- 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
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Source : Boston Children's Hospital