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 cash and credit functions related to all Foundations
Collaborating with peers and PO Management in the development and implementation of policies and procedures for cash and credit 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 cash and credit 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. Providing reports and supporting various initiatives as needed.
Leading and maintaining a cash and credit dept that is focused on patient satisfaction and efficient posting 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.
Staying current with changes in requirements and uses this knowledge to develop or modify policies and procedures for cash and credit team. Participating in design and execution of training programs to assist team to respond appropriately to inquiries. Working with PO management, foundation chiefs and department administrators to resolve program specific problems.
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. A Bachelor's degree in health care or business administration, accounting, finance or a closely related field is preferred.
3+ years of cash and credit management 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 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.
Internal Number: 3147064
About Boston Children's Hospital
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.