Physician Billing Specialist

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

• High School Diploma or GED required
• 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)

Benefits

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.