Senior Associate - Physician Billing
Boston Children's HospitalAbout the role
Status
Full-Time
Standard Hours per Week
40
Job Posting Category
Accounting/Finance
Job Posting Description
Position Summary: Senior Associate Physician Billing
Key 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.
Minimum Qualifications Education: High School / GED
Experience: Required 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience.
Office/Site Location
Westwood
Regular, Temporary, Per Diem
Regular
Remote Eligibility
Part Remote/Hybrid
Pay Range
$21.47-$33.55 Hourly
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