Revenue Cycle Account Manager, Remote

Site: Mass General Brigham Incorporated

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.

Job Summary

Establishes and manages effective ongoing communication with assigned physician practice(s) to identify and address business needs; provides guidance and timely responses to customer service questions and requests; conducts regular meetings with practice staff.

Communicates with practice(s) within the framework of the Revenue Cycle.

Provides analysis and context for monthly performance data. This includes projections and comparison to budget figures

Does this position require Patient Care?
No

Qualifications

Essential Functions
-Oversee the entire billing process, ensuring accurate and timely submission of claims, invoicing, and accounts receivable management.
-Provides the practices and Management with the status and analysis of standard operational, financial, billing and budget statistics on a monthly basis.

-Monitor billing performance metrics, analyze trends, and identify areas for improvement in revenue cycle processes.

-Ensure compliance with healthcare regulations, coding guidelines, payer requirements, and billing practices, such as HIPAA and Medicare regulations.

-Collaborate with insurance companies and payers to resolve billing issues, negotiate contracts, and address reimbursement discrepancies.

-Monitor accounts receivable aging, implement strategies to reduce outstanding balances, and oversee the resolution of billing disputes.

-Analyze revenue trends, identify root causes for revenue fluctuations, and develop action plans to optimize revenue generation.

Additional Job Details (if applicable)

Additional_Job_Description

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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.

Employment Type: Full time