Customer Service Representative II

Mass General Brigham•Boston, MA

3d•Onsite

About The Position

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

Requirements

High School Diploma or Equivalent required
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.