Customer Service Representative II

Mass General BrighamBoston, MA
$19 - $27Onsite

About The Position

Site: The General Hospital Corporation 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: Responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital.

Requirements

  • High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred
  • Collections Experience 2-3 years required
  • 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.

Nice To Haves

  • Associate's Degree Healthcare Management preferred

Responsibilities

  • 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.
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