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Children's Hospital Boston Physician Billing Manager in Boston, Massachusetts

60502BRTitle:Physician Billing ManagerDepartment:Shared Service CenterAutoReqId:60502BRStatus:Full-TimeStandard Hours per Week:40 Job Category:FinanceJob Posting Description:At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.

This Physician Billing Manager will be responsible to:

  • Manage day-to-day billing operations for assigned departments or foundations. Maintain a high-performing team through effective management of supervisors to ensure staff receive appropriate levels of training in billing procedures and use of EPIC in order to ensure timely and accurate billing of physician services

  • Develop daily, weekly, and monthly work priorities for assigned supervisors and staff. Makes recommendations regarding disposition of accounts. Review billing reports, collections, and other information to ensure staff production and quality assurance metrics are being met. Identify, communicate, and facilitate resolution of problems as necessary

  • Collaborate with peers, directors, and Physicians’ Organization (PO) leadership to develop, write, and implement policies and procedures for the physician billing office. Maintain compliance with the hospital's billing policies and procedures

  • Analyze billing procedures and works collaboratively with PO contracting dept and quality staff regarding any necessary changes to workflows or procedures. Recommend and implement changes as necessary in response to changing payer requirements or clinical activities. Provide reporting and support to various initiatives

  • Lead and maintain a billing dept that is focused on patient satisfaction and billing operations. Organize logistics of office space, equip and supplies. Establish vendor relationships, contracts and operational procedures for clearinghouse functions, patient statement processing and collection efforts for responsible parties.

  • Stay current with changes in billing requirements and uses this knowledge to develop or modify policies and procedures for billing office. Participate in design and execution of training programs to assist staff to respond to billing inquiries. Work with PO management, foundation chiefs and dept administrators to resolve program specific problems.

  • Maintain contact with reps from third party payers. Monitor reimbursement changes and trends. Interact with other managers, the hospital's office for managed care and patient financial services

To qualify, you must have:

  • A High School diploma required. Bachelor's degree in health care administration, business administration, accounting or finance or a closely related field is preferred

  • 3 years of revenue cycle experience including significant experience within the health insurance revenue cycle experience

  • Analytical skills necessary to plan for design or enhance billing systems and programs

  • State-of-the-art awareness of billing requirements and technology related to physician billing to resolve problems

Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organization needs

Boston Children’s Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounted rates on T-passes (50% off). Discover your best.

Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.

Office/Site Location:WestwoodRegular, Temporary, Per Diem:Regular

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