What are the responsibilities and job description for the Patient Account Rep-Per Diem position at Mass General Brigham?
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Looking for per diem staff to cover for vacation and sick time
Job Summary
SummaryAs the Patient Accounts Representative, the primary purpose of your job, under the supervision of the Patient Accounts Director, is the timely and accurate filing and follow-up of third-party claims.
Does this position require Patient Care?
No
Essential Functions
-Ensure accurate billing for all patient accounts to maximize reimbursement for the hospital.
- Works with insurance companies to verify coverage, follow up on account status and to identify any account issues and resolve them.
- Proficient in use of hospital computer module and various insurance websites to verify insurance, inquire status of claims, to update patient insurance and enter comments on accounts to provide a complete historical record of all activities.
- Resolves account issues in a timely manner while documenting correspondence with the patient.
- Responds to patient billing inquiry from both patient and insurance companies in a timely fashion via all communication tools (phone, fax, email, etc.) until all questions/issues have been resolved.
- Understands the billing cycle, insurance coverage and benefits and can convey this information to patients.
- Refer patients to the corporate customer service department for residual collection and or payment plans.
- Accurately performs all billing functions: credit refunds, un-billing, adding insurance, etc.
- Informs Patient Accounts Director of any backlogs and delays in billing or correspondence and any billing issues that cannot be resolved.
- Works in collaboration and maintains a good working relationship with all entities (ex.
- Physicians’ officed, ancillary departments, insurance representatives, etc.) to ensure all activities regarding patient accounts are complete, accurate and timely filing.
- Maintains patient confidentiality.
- Follow MGB and MVH billing credit collection policies and procedures.
- Meet all MVH and MGB billing metrics.
- Maintains a neat and orderly workstation.
Qualifications
Education
High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred and Other Certificate/Diploma Medical Billing and Coding preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
2-3 years of previous billing experience in the health care industry in functions such as hospital or medical billing, previous claims processing or similar industry experience, including PC/computer experience with working knowledge of all phases in billing procedures. 2-3 years required
Knowledge, Skills and Abilities
Additional Job Details (if applicable)
Physical Requirements
- Standing Occasionally (3-33%)
- Walking Occasionally (3-33%)
- Sitting Constantly (67-100%)
- Lifting Occasionally (3-33%) 20lbs - 35lbs
- Carrying Occasionally (3-33%) 20lbs - 35lbs
- Pushing Rarely (Less than 2%)
- Pulling Rarely (Less than 2%)
- Climbing Rarely (Less than 2%)
- Balancing Occasionally (3-33%)
- Stooping Occasionally (3-33%)
- Kneeling Rarely (Less than 2%)
- Crouching Rarely (Less than 2%)
- Crawling Rarely (Less than 2%)
- Reaching Occasionally (3-33%)
- Gross Manipulation (Handling) Constantly (67-100%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%) Hearing Constantly (67-100%)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
