Patient Business Representative
Share
Job Location:
Jamaica Plain, MA - USA
Hourly Salary:
$ 19 - 27
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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
Summary:The Patient Business Rep (PBR) functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and pharmacy financial assistance programs. The PBR will serve as the primary practice contact when patients require assistance with various billing/financial related issues.
Does this position require Patient Care No
Essential Functions:
-Responsible for screening patients for MassHealth CarePlus Connector Care Health Safety Net assisting in the application process when appropriate.
-Submits applications all Massachusetts applications for health coverage via the Health Connector.
-Verify patients insurance coverage and eligibility to ensure accurate billing and claims processing.
-Collect and record patient demographic and insurance information accurately during the registration process.
-Assists patients in applying for and/or understanding all other financial assistance programs or low cost insurance plans such as the Insurance Partnership Medical Security Plan and Health Connector Plans.
-Acts as patient representative in any cases submitted via the Health Connector paper or over the phone assisting the patient in deciphering notices received from EOHHS.
-Assists patients in the redetermination process for MassHealth Connector Care and or Health Safety Net.
-Offer financial counseling and assistance programs to patients who may require financial support for medical services.
-Adhere to relevant billing regulations insurance guidelines and hospital billing policies to ensure compliance with healthcare laws and ethical standards.
-Acts as a liaison between the patients hospital billing department and BWPO practices/billing agencies in addressing any billing related inquires and issues.
-Accepts and/or arranges payment for deductibles and outstanding balances.
Qualifications
Education
High School Diploma/GED required
Bachelors Degree Health Administration /bachelors degree Related Field of Study preferred
40 Hours / BWH Southern Jamaica Plain Health Center 640 Center Street Jamaica Plain
Experience
Registration/Hospital Patient Billing Experience 1-2 years preferred
Knowledge Skills and Abilities
- Knowledge of healthcare billing and insurance terminology including CPT codes ICD-10 codes and insurance claim processing.
- Excellent communication and interpersonal skills to interact with patients families and hospital staff in a professional and empathetic manner.
- Strong attention to detail and accuracy in handling financial transactions and billing records.
- Ability to handle sensitive and confidential patient financial information with discretion.
- Problem-solving skills to address billing inquiries and resolve payment-related issues.
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
Key Skills
- Business Development
- Sales Experience
- B2B Sales
- Time Management
- Cold Calling
- Outbound Sales
- Account Management
- Salesforce
- Inside Sales
- Telemarketing
- CRM Software
- Lead Generation
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
