Collection Representative at Partner's Healthcare in Somerville, Massachusetts

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.

Job 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.

Essential Functions:

• 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:

• High School Diploma or Equivalent required or Associate's Degree in Healthcare Management preferred.
• 1-3 years' relevant experience in healthcare collections preferred.
• Bilingual Spanish preferred.

Knowledge, Skills & 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:

• Mon - Fri 8:00 AM - 4:30 PM EST schedule required for remote role.
• A quiet, secure, stable, HIPAA-compliant workstation is required.
• Remote Work Location 399 Revolution Drive
• Scheduled Weekly Hours 40
• Employee Type Regular
• Work Shift Day (United States of America)
• Pay Range $17.71 - $25.28/Hourly Grade 2

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement: 0100 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 View phone number on click.appcast.io.

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.