Patient Account Rep

Mass General Brigham•Oak Bluffs, MA

3d•$21 - $44•Hybrid

About The Position

As the Patient Accounts Representative, the primary purpose of your job, under the supervision of the Patient Accounts Director, is the timely and accurate filing and follow-up of third-party claims.

Requirements

High School Diploma or Equivalent required
2-3 years of previous billing experience in the health care industry in functions such as hospital or medical billing, previous claims processing or similar industry experience, including PC/computer experience with working knowledge of all phases in billing procedures.

Nice To Haves

Associate's Degree Related Field of Study preferred
Other Certificate/Diploma Medical Billing and Coding preferred

Responsibilities

Ensure accurate billing for all patient accounts to maximize reimbursement for the hospital.
Works with insurance companies to verify coverage, follow up on account status and to identify any account issues and resolve them.
Proficient in use of hospital computer module and various insurance websites to verify insurance, inquire status of claims, to update patient insurance and enter comments on accounts to provide a complete historical record of all activities.
Resolves account issues in a timely manner while documenting correspondence with the patient.
Responds to patient billing inquiry from both patient and insurance companies in a timely fashion via all communication tools (phone, fax, email, etc.) until all questions/issues have been resolved.
Understands the billing cycle, insurance coverage and benefits and can convey this information to patients.
Refer patients to the corporate customer service department for residual collection and or payment plans.
Accurately performs all billing functions: credit refunds, un-billing, adding insurance, etc.
Informs Patient Accounts Director of any backlogs and delays in billing or correspondence and any billing issues that cannot be resolved.
Works in collaboration and maintains a good working relationship with all entities (ex. Physicians’ officed, ancillary departments, insurance representatives, etc.) to ensure all activities regarding patient accounts are complete, accurate and timely filing.
Maintains patient confidentiality.
Follow MGB and MVH billing credit collection policies and procedures.
Meet all MVH and MGB billing metrics.
Maintains a neat and orderly workstation.