Patient Accounts Coordinator
Mass General Brigham

Job Info

---

About Us

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.

We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.

Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

The Opportunity

The Coordinator reports to the Senior Manager of the 3rd Party Follow Up Team and is responsible for the timely and accurate submission of all billed claims for Patient Financial Services.
In addition to the responsibilities of Senior 3rd Party Reviewer, the Coordinator is required to bring issue/problem identification and investigation through to an accepted/successful resolution. The Coordinator will work with the entire Billing team to ensure the daily workflow is complete and that all production claims submitted and responsibilities are completed. Coordinator must be able to perform in a high volume and fast paced production environment with a high degree of accuracy and productivity including the difficult exception claims that occur. This individual should have the ability to take responsibilities and perform required tasks independently as well as in a team environment.

Principal Duties and Responsibilities

• Use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration
• Organize and coordinate department workflow
• Manage complex denials, escalation files as well as other high priority work assignments
• Assist management in handling payer issues
• Monitor Epic follow up work ques and worklists routinely to ensure goals are met as established by the unit
• Run reports within Epic or other reporting tools when applicable
• Assist in training and education of staff
• Meet established goals for quality and productivity as established by the unit
• Adhere to the organization's HIPAA Privacy guidelines
• Performs other duties, tasks, or projects as assigned

Qualifications
Qualifications

• High school diploma or equivalent required
• Five years previous patient accounting experience required
• Thorough knowledge and understanding of electronic HIPAA transactions including 837 claim files and fields as well as 835 Remit files and fields
• Thorough knowledge and understanding of UB04 and 1500 claim forms and data fields
• Thorough knowledge and understanding of ANSI standards for claim requirements/submission
• Robust knowledge of Hospital, Payer, and industry rules and requirements

Skills/Abilities/Competencies

• Strong interpersonal skills required
• Ability to effectively communicate with employees throughout the PHS network
• Ability to identify problems and issues within daily bill drops and research, review, and analyze for systems reporting
• Strong understanding of Excel and Access is required
• Expert knowledge of hospital billing required
• Attention to detail a must
• Ability to multi-task required
• Accurately and productively perform high volume output on a daily basis
• Expert experience with hospital billing systems is required

EEO Statement
Mass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. 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 the law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment.

This job has expired.