Professional Billing Analyst (Payor Relations - Shared Service Center)

Status

Full-Time

Standard Hours per Week

40

Job Posting Category

Finance

Job Posting Description

Schedule: Monday - Friday, regular business hours.
Location: Station Drive, Westwood, MA
Hybrid: 1-2 days/week in office.

The Professional Billing Analyst - Shared Service Center will be responsible for: 

• Working closely with department heads, other hospital personnel and executives for the purposes of information gathering to enhance revenue cycle opportunities. Seeking opportunities to gather information or knowledge from others outside of the department.
• Working closely across the enterprise with manager, peers, and leadership, sharing critical information and statistical data, while developing procedures for operational improvement on a recurring basis.
• Extracting and compiling data from various system sources to develop sound analyses leading to potential revenue cycle opportunities, conducting analyses related to CDM setup, charge capture, billing, and/or collections. Understanding end goal of analysis, as a means to project data needs and requirements for timely and appropriate issue escalation or resolution.
• Utilizing appropriate analytical tools to extract, compile and manipulate data for purposes of analysis. Presenting data in a clear, organized manner. Documenting sources, specs, and assumptions for all analyses for future reference.
• Maintaining data integrity when manipulating data files for purposes of analysis. Ensuring data does not become corrupted in any way when performing analyses, through conscientious use of tools and a system of checks and balances.
  checking results of queries and reports to ensure they meet expectations before presenting finalized information. Running data multiple ways when necessary to ensure accuracy of results.
• Responsibilities are performed independently within established department policies and procedures, this position is responsible for improving revenue cycle workflow, efficiency, accuracy, reimbursement and overall revenue control through operational and system enhancements and/or modifications.

To qualify, you must have:

• Bachelor’s degree in Healthcare Administration, Business Administration, Accounting, Finance or a closely related field, or equivalent experience required.
• Minimum of 4 years’ related Physician Billing work experience required, with a primary role relative to Technology, Operations, or Finance.
• Previous payor relations experience preferred. Experience working with payors to resolve physician billing issues/trends and payor policies familiarity preferred.
• Previous EPIC experience preferred.
• Analytical skills to resolve problems requiring the use of scientific, mathematical, or technical principles and in-depth, experience based cross-functional knowledge.
• State-of-the-art awareness of billing requirement and technology related to physician billing to resolve problems.
• Excellent written and verbal communication skills in order to effectively deal with conflicting views and issues and mediate fair solutions.
• Ability to identify, analyze and resolve problems and situations quickly and effectively.
• Ability to work with diverse internal and external constituencies.
• Strong knowledge of overall physician billings operations related to healthcare.

Boston Children’s Hospital offers competitive compensation and unmatched benefits including 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 and discounted rates on T-passes. Experience the benefits of passion and teamwork.
 

Office/Site Location

Westwood

Regular, Temporary, Per Diem

Regular

Remote Eligibility

Part Remote/Hybrid