Billing Representative II

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Reporting directly to the Manager and under the general direction of the Senior Manager of Credit Resolution the Billing Representative II performs various billing functions to minimize credit accounts receivable and enhance collection performance. The position utilizes electronic billing and medical retrieval systems and in-depth knowledge of medical billing and insurance rules and regulations to resolve accounts receivable and credit issues.

Principal Duties and Responsibilities
Achieve excellence in performance by working collaboratively with others on MGB RCO and Enterprise Initiatives
Supports and demonstrates the values of Massachusetts General Brigham by conducting activities ethically with integrity honesty and confidentiality. Demonstrates a positive open-minded can-do attitude. Represents a team perspective and willingness and enthusiasm to collaborate with others. Follows through on commitments and achieves desired results. Exhibits sound judgment obtains the facts examines options gains support and achieves positive outcomes.
Drives Workforce Enrichment and recognizes the value that different perspectives and cultures bring to an organization.
Create and foster an atmosphere of continuous improvement.
Always maintain high professional conduct standards. Represents the MGB RCO at events and projects external to the organization.
Enthusiastically promote a cooperative team environment to provide value to all customers. Act as a leader in creating a positive atmosphere within the team. Listen and interact tactfully diplomatically and effectively without alienating others.
Develop relationships with all levels to modify/create procedures to reduce backlogs and improve financial performance.

Account Management
Perform all aspects of the Billing Representative I position at a consistently high degree of proficiency. This entails a complete understanding of all department policies and procedures to execute all billing tasks. Act with minimal supervision notice or direction to identify and resolve problems and complete work.
Ability to work on the most sensitive and/or high-profile patient accounts projects and/or accounts as directed. Provide immediate feedback to Manager on changes or modifications that need to be communicated to appropriate departments within the MGB RCO.
Apply expert knowledge of insurance rules and regulations to interpret new insurance/HCFA/HIPAA information and report potential impact. Utilize experience and expertise to determine the correct course of action efficiently and effectively on each account/project.
Effectively handle telephone inquiries from all customers including patients insurance companies and other departments within the PBO. Gather and interpret all relevant information to help resolve issues or complaints. Document issues thoroughly.
Coordinate data to complete special billing projects based on contractual obligations and regulatory demands.
Apply transfers and/or adjustments to invoices as necessary to complete the resolution of each invoice.
Provide detailed summaries of issues/requests with supportive data to management. Recommend resolutions workflows and identify root cause. Must be able to exercise proper judgment as necessary and raise issues to the appropriate management level.
Meet deadlines and exceed both productivity and quality standards for Epic Workqueues including but not limited to:
verification
Requests
& phone inquiries
projects
job duties as assigned
- Demonstrate proficiency with a variety of automations including but not limited to Epic Microsoft Word Excel E-mail Voicemail and Payor Websites.
- Effectively handle all inquiries regarding credits from customers including insurance companies and other departments within the PBO. Gather and interpret all relevant information to help resolve issues or complaints. Document issues thoroughly. Utilize collections experience and expertise to determine the correct course of action efficiently and effectively on each account/project.
- Perform other duties as assigned

• High School Diploma or GED equivalent required
• Three years experience in high volume medical billing and Billing/Accounts Receivable systems required.
• Epic System knowledge preferred
• Effective communication organizational and problem-solving skills
• Detailed working knowledge of medical terminology ICD 10 coding and CPT HCPCS required.
• Knowledge of medical Billing insurance rules and regulations required
• Solid written skills essential

Skills/Abilities/Competencies

• Excellence in customer service skills
• Effective communication and interpersonal skills to successfully interact with internal and external customers
• Effective organizational and problem-solving skills
• Strong analytical skills
• Ability to manage multiple tasks/projects simultaneously
• Must be able to act with minimal supervision notice or direction to complete work and identify/resolve problems by utilizing billing knowledge and experience. Must be independent.
• Demonstrated proficiency with a variety of automations including but not limited to Epic Microsoft Word Excel Email and electronic data processing skills
• Must be able to show expert knowledge of key processes while demonstrating a complete understanding of where each job within Patient Financial Services fits into the organizations overall mission.
• Established as a dynamic and positive team player able to work independently and in a group/team setting
• Detail oriented
• Must be able to develop training curriculum and conduct training sessions as needed
• Adapt positively to changes in the work setting with ease

• M-F Eastern Business hours 7:00 AM -3:30 PM EST
• Quiet secure stable compliant work station required for remote role

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework