Professional Billing Analyst- remote

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 contribution can change lives. Yours included.

Position Summary

The Professional Billing Analyst supports physician billing and professional revenue cycle operations by analyzing data, identifying trends and issues, and developing solutions to improve workflow, efficiency, accuracy, reimbursement, and overall revenue performance. This position serves as a key analytical resource for service line leaders, finance directors, managers, physicians, clinical staff, and other hospital colleagues on matters related to professional revenue. Epic experience is highly preferred.

Key Responsibilities

• Monitor and improve revenue cycle workflows and processes across multiple physician organization functions.

• Support day-to-day problem resolution and troubleshooting related to physician billing operations.

• Identify opportunities to improve revenue cycle efficiency, accuracy, reimbursement, and overall revenue control through operational and system enhancements.

• Work closely with department leaders, hospital colleagues, and executives to gather information and identify revenue cycle opportunities

• Extract, compile, and analyze data from multiple systems to identify opportunities related to charge description master (CDM) setup, charge capture, billing, and collections.

• Use analytical tools to extract, manipulate, and evaluate data to support revenue cycle decision-making.

• Maintain data integrity when manipulating and analyzing data files.

• Validate queries and reports to ensure results are accurate and meet expectations before presenting finalized information.

• Run and compare data in multiple ways when necessary to validate results and support accurate issue resolution.

• Identify, analyze, and resolve complex physician billing and revenue cycle issues.

• Provide support and recommendations for process improvements and revenue cycle initiatives.

Minimum Qualifications

Education:

• Bachelor's degree or equivalent experience required.

• Preferred areas of study include Healthcare Administration, Business Administration, Accounting, Finance, or a closely related field.

Experience:

• Minimum of 4 years of related physician billing experience, with a primary focus in technology, operations, finance, or a similar area.

• Strong knowledge of physician billing operations within a healthcare environment.

• Strong analytical skills with the ability to resolve complex problems using technical, mathematical, and cross-functional knowledge.

• Knowledge of current physician billing requirements and related technology.

• Strong written and verbal communication skills, including the ability to work through differing perspectives and develop effective solutions.

• Strong problem-solving skills with the ability to identify, analyze, and resolve issues quickly and effectively.

• Ability to work effectively with diverse internal and external stakeholders.

• Strong organizational skills and attention to detail.

• Ability to work independently while collaborating effectively across teams.

Schedule:

Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.