Director, Hospital/Professional Billing & Follow Up

Site: 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 the efficient and effective oversight of Hospital and Professional Billing and Follow-Up activities. Monitors overall accounts receivable, clean claims, denial resolution, and payment trends to report on performance and implement best practice solutions. In partnership with key stakeholders, the Director, HB/PB Billing & Follow-Up, operationalizes the strategic direction for Patient Financial Services and continuously works to improve staff, processes, and technology approaches across the functions.

Does this position require Patient Care?
No

Qualifications

Essential Functions :

• Provide leadership and guidance to staff, including training, supervision, and performance management.
• Develops and implements efficient and effective operational policies, processes, and best practices.
• Manages day-to-day operations of Hospital and Professional Billing and Follow-up teams, including identifying and monitoring team success metrics and activities related to PFS functions.
• Identifies, analyzes, and follows up on payer issues and denial trends, interacting with MGB entities and practices, payer representatives, and others to ensure accurate and timely billing, appeals, and claims processing.
• Oversees continual improvement efforts to maximize revenue capture while ensuring compliance with all regulatory requirements.
• Identify operational impacts of and oversee the adoption of rapidly changing technology and regulatory aspects of health care and health care billing to ensure compliant operations.
• Implement the strategic direction for Hospital Billing and Follow-up and Payment Posting teams, and collaborate with direct reports, functional leaders, and on/offshore resources to drive alignment.

Education:
Bachelor's Degree. Major preferred in either Finance or Business Administration or Healthcare Administration.

Can this role accept experience in lieu of a degree?
Yes

Licenses and Credentials:

Experience :
Hospital patient accounts, hospital finance or related revenue cycle operations 3-5 years required and Management experience in Hospital patient accounts, hospital finance or related revenue cycle operations 3-5 years required and EPIC revenue cycle application experience 3-5 years required

Knowledge, Skills and Abilities :

• Excellent personnel management and organizational management skills.
• Manage change with proven success in leading executives, physicians, managers, and staff to achieve positive outcomes.
• Must be an engaged and approachable leader.
• Demonstrated ability to manage change.
• Ability to lead and motivate a team to achieve goals and objectives.
• Ability to lead, manage, and prioritize multiple projects and tasks.

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$124,342.40 - $180,897.60/Annual

Grade

9At 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. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

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 aiapply.co.

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.