Job 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 for:
Managing and supporting the operations of the Physician’s Organization (“PO”) professional billing and collection functions related to assigned Foundations or Departments.
Collaborating with peers and PO Management in the development and implementation of policies and procedures for billing and collection activity.
Developing daily, weekly, and monthly work priorities for assigned supervisors and staff.
Making recommendations regarding disposition of accounts.
Reviewing billing reports, collections, and other information to ensure staff production and quality assurance metrics are being met.
Identifying, communicating, and facilitating resolution of problems as necessary.
Analyzing billing procedures and works collaboratively with PO contracting department and quality staff regarding any necessary changes to workflows or procedures.
Recommending and implementing changes as necessary in response to changing payer requirements or clinical activities.
Provides reporting and support to various initiatives as needed.
Leading and maintaining a billing department that is focused on patient satisfaction and efficient billing operations.
Organizing logistics of office space, equipment and supplies.
Establishing vendor relationships, contracts and operational procedures for clearinghouse functions, patient statement processing and collection efforts for responsible parties.
Maintaining contact with representatives from third party payers.
Monitoring reimbursement changes and trends.
Interacting with other billing managers, the hospital’s office for managed care and patient financial services.
Attending meetings, both internal and external, as directed by PO management.
To qualify, you must have: High School diploma or equivalent 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.
Ability to effectively manage the employees within assigned unit/department and to persuade and negotiate with peer level managers and superiors on issues and programs that impact assigned department.
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.