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Collection Representative Patient Billing Services

Brigham and Women's HospitalSomerville, MA
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Job Description

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.

MGB Enterprise is hiring an exceptional Customer Service Professional for our Team!

We are seeking a Collections Representative, withing MGB Patient Billing

M-F Eastern Hours required, 8:00am to 4:30 pm

Full Time, with benefits, (Self Pay AR Team)

Job Summary

The Rep is Responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital.

What You Do;

  • Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances.
  • Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims.
  • Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances.
  • Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives.
  • Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission.
  • Assist patients in understanding their medical bills, insurance coverage, and payment options.
  • Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies.

Qualifications

What You Bring;

  • High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred
  • Collections Experience 1-2 years preferred

Knowledge, Skills and Abilities

  • Knowledge of medical billing processes, insurance claim submission, and reimbursement principles.
  • Familiarity with insurance plans, government programs, and their billing requirements.
  • Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues.
  • Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances.
  • Attention to detail and accuracy in recording collection activities and maintaining documentation.

Additional Job Details (if applicable)

Working Conditions Required

  • Monday through Friday, 8:00am to 4:30 pm ET required
  • Stable, Secure, Quiet, Compliant working station free from distraction and free from others

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. 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 Veteran's 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 (857)-282-7642.

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.