Physician Billing Specialist

At Boston Children's Hospital, the quality of our care and our inclusive working environment is driven by the diversity of our people. With patients from local communities and more than 160 countries around the world, we are committed to reflecting the cultures we serve while creating opportunities for our team. Here, individuals with different talents come together to pursue common goals. Voices are heard, ideas are shared, and every contribution matters. Join us and discover how your unique impact can help change lives.

Position summary
The Physician Billing Specialist is responsible for the timely and accurate submission and collection of physician claims. This role ensures that billing issues are fully investigated and resolved, while maintaining a high level of accuracy and productivity. The Specialist works both independently and collaboratively with the billing team to manage daily workflows, resolve complex claims, and support overall revenue cycle operations.

Key responsibilities
Manage and resolve physician billing claims, ensuring timely and accurate submission and follow-up
Investigate and resolve billing issues, including working with patients, guarantors, and insurance carriers
Respond to inquiries via phone and written communication in a professional and customer-focused manner
Ensure all daily work assignments are completed with a high degree of accuracy and efficiency
Identify trends and recommend process improvements to enhance workflow and outcomes
Serve as a subject matter expert and assist in training team members on billing practices and procedures
Participate in special projects and support continuous improvement initiatives
Demonstrate initiative, accountability, and the ability to manage complex assignments independently

Minimum qualifications
Education:
High School Diploma or GED required

Experience:
Minimum of 4 years of experience in multi-specialty physician billing or equivalent medical billing experience
Strong knowledge of electronic claims processing, remittance advice, and payment posting
Understanding of payer requirements, benefits, and coverage guidelines
Proven ability to problem solve, think critically, and manage complex billing scenarios
Strong communication skills and ability to support and train team members

Schedule: Full-time position (standard business hours)

Boston Children's Hospital offers competitive compensation and comprehensive benefits, including flexible schedules, affordable health, vision, and dental insurance, childcare and student loan subsidies, generous paid time off, a 403(b) retirement savings plan, pension, tuition and certification reimbursement, cell phone plan discounts, and discounted MBTA passes. Experience the benefits of working in a collaborative and mission-driven environment.