Medicare Billing Representative, Remote
Medicare Billing Representative, Remote
Posted on :
03-08-2025
Employer Active
1 Vacancy
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Job Description
Site: Mass General Brigham Incorporated
Achieve excellence in performance by working collaboratively with others on MGH (Massachusetts General Hospital) MGPO (Massachusetts General Physicians Org.) BWH (Brigham and Womens Hospital) and BWPO (Brigham and Womens Physicians Org.) Professional Billing Office 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.
Always maintain high professional conduct standards. Represents the CBPO Professional Billing Office 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.
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 with minimal direct supervision. This representative is expected to be a leader within the team in productivity teamwork efficiency communication and patient care. Act with minimal supervision notice or direction to identify and resolve problems and complete work.
Work the most sensitive Epic Workqueues projects and/or accounts and provide immediate feedback to Team Supervisor on changes or modifications that need to be communicated to appropriate Liaison/department.
Apply 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 insurance companies and other departments within the PBO. Gather and interpret all relevant information to help resolve issues or complaints. Document issues thoroughly.
Apply transfers and/or adjustments to invoices as needed to complete each invoices resolution.
Request necessary data as appropriate to resolve issue and trends once identified within their work files and follow through on resolutions to completion.
Represent the department in meetings with other PBO or MGB staff and Insurance Representatives.Remote399 Revolution Drive40RegularDay (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 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
PRINCIPAL DUTIES AND RESPONSIBILITIES:Achieve excellence in performance by working collaboratively with others on MGH (Massachusetts General Hospital) MGPO (Massachusetts General Physicians Org.) BWH (Brigham and Womens Hospital) and BWPO (Brigham and Womens Physicians Org.) Professional Billing Office 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.
Always maintain high professional conduct standards. Represents the CBPO Professional Billing Office 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.
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 with minimal direct supervision. This representative is expected to be a leader within the team in productivity teamwork efficiency communication and patient care. Act with minimal supervision notice or direction to identify and resolve problems and complete work.
Work the most sensitive Epic Workqueues projects and/or accounts and provide immediate feedback to Team Supervisor on changes or modifications that need to be communicated to appropriate Liaison/department.
Apply 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 insurance companies and other departments within the PBO. Gather and interpret all relevant information to help resolve issues or complaints. Document issues thoroughly.
Apply transfers and/or adjustments to invoices as needed to complete each invoices resolution.
Request necessary data as appropriate to resolve issue and trends once identified within their work files and follow through on resolutions to completion.
Represent the department in meetings with other PBO or MGB staff and Insurance Representatives.
Qualifications
QUALIFICATIONS:
- High School diploma or GED equivalent required
- 1 year of experience in high volume medical billing and Billing/Accounts Receivable systems required.
- Epic knowledge preferred
- Effective communication organizational and problem-solving skills
- Detailed working knowledge of medical terminology ICD 10 coding and CPT HCPCS preferred.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
- Excellence in customer service skills
- Effective communication and interpersonal skills to successfully interact with internal and external customers
- Effective organizational and problem-solving skills
- Ability to manage multiple tasks/projects simultaneously
- Demonstrated proficiency with a variety of automations including but not limited to Epic PATCOM Meditech INVISION LMR Microsoft Word Excel Email and electronic data processing skills
- Established as a dynamic and positive team player able to work independently and in a group/team setting
- Knowledge of medical billing insurance rules and regulations required
- Detail oriented
- Adapt positively to changes in the work setting with ease
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$19.42 - $27.74/HourlyGrade
3EEO 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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