Patient Business Represenative

Site: The Brigham and Womens Hospital Inc.

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.

Education
Bachelors Degree Health Administration / bachelors degree Related Field of Study preferred.

Can this role accept experience in lieu of a degree
Yes

Licenses and Credentials

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.

Hybrid

640 Centre Street

40

Regular

Day (United States of America)

Pay Range

$19.81 - $28.30/Hourly

Grade

3

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

2200 The Brigham and Womens Hospital Inc. 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 .