Patient Account Rep
Mass General Brigham Incorporated., Oklahoma City, OK, United States
You may choose to display a cookie banner on the external site. You must specify the message in the cookie banner and may add a link to a relevant policy. If you are unfamiliar with these requirements, please seek the advice of legal counsel. )Site: Martha's Vineyard Hospital, Inc.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:
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.
No
Essential Functions:
-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.**Qualifications**Education
High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred and Other Certificate/Diploma Medical Billing and Coding preferred
No
Licenses and Credentials
Experience
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. 2-3 years required**Additional Job Details (if applicable)****Physical Requirements**- Standing Occasionally (3-33%)- Walking Occasionally (3-33%)- Sitting Constantly (67-100%)- Lifting Occasionally (3-33%) 20lbs - 35lbs- Carrying Occasionally (3-33%) 20lbs - 35lbs- Pushing Rarely (Less than 2%)- Pulling Rarely (Less than 2%)- Climbing Rarely (Less than 2%)- Balancing Occasionally (3-33%)- Stooping Occasionally (3-33%)- Kneeling Rarely (Less than 2%)- Crouching Rarely (Less than 2%)- Crawling Rarely (Less than 2%)- Reaching Occasionally (3-33%)- Gross Manipulation (Handling) Constantly (67-100%)- Fine Manipulation (Fingering) Frequently (34-66%)- Feeling Constantly (67-100%)- Foot Use Rarely (Less than 2%)- Vision - Far Constantly (67-100%)- Vision - Near Constantly (67-100%)- Talking Constantly (67-100%)- Hearing Constantly (67-100%)**Remote Type**Hybrid**Work Location**One Hospital Road**Scheduled Weekly Hours**40**Employee Type**Regular**Work Shift**Day (United States of America)**Pay Range**$21.32 - $44.22/Hourly**Grade**SM1207At 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:**1550 Martha's Vineyard Hospital, Inc. 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 (857)-282-7642.## **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.Combat disease. Hold a hand. Help people. Impact the world.Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.We recognize that increasing value and continuously improving quality are essential to maintaining excellence. #J-18808-Ljbffr
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.
No
Essential Functions:
-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.**Qualifications**Education
High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred and Other Certificate/Diploma Medical Billing and Coding preferred
No
Licenses and Credentials
Experience
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. 2-3 years required**Additional Job Details (if applicable)****Physical Requirements**- Standing Occasionally (3-33%)- Walking Occasionally (3-33%)- Sitting Constantly (67-100%)- Lifting Occasionally (3-33%) 20lbs - 35lbs- Carrying Occasionally (3-33%) 20lbs - 35lbs- Pushing Rarely (Less than 2%)- Pulling Rarely (Less than 2%)- Climbing Rarely (Less than 2%)- Balancing Occasionally (3-33%)- Stooping Occasionally (3-33%)- Kneeling Rarely (Less than 2%)- Crouching Rarely (Less than 2%)- Crawling Rarely (Less than 2%)- Reaching Occasionally (3-33%)- Gross Manipulation (Handling) Constantly (67-100%)- Fine Manipulation (Fingering) Frequently (34-66%)- Feeling Constantly (67-100%)- Foot Use Rarely (Less than 2%)- Vision - Far Constantly (67-100%)- Vision - Near Constantly (67-100%)- Talking Constantly (67-100%)- Hearing Constantly (67-100%)**Remote Type**Hybrid**Work Location**One Hospital Road**Scheduled Weekly Hours**40**Employee Type**Regular**Work Shift**Day (United States of America)**Pay Range**$21.32 - $44.22/Hourly**Grade**SM1207At 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:**1550 Martha's Vineyard Hospital, Inc. 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 (857)-282-7642.## **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.Combat disease. Hold a hand. Help people. Impact the world.Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.We recognize that increasing value and continuously improving quality are essential to maintaining excellence. #J-18808-Ljbffr