Third Party Reviewer

Billing Representative III

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

The Billing Representative III is responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information. Participates in peer review to ensure accuracy and timeliness standards are maintained.
Essential Functions

Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies.
Addresses issues of a more complex nature and support junior staff by answering day to day questions.
Peer reviews records for management to ensure accuracy of information.
Process payments and maintain up-to-date billing records.
Reprocessing insurance denials and submitting all necessary documentation for payment.
Collaborate with other departments to resolve billing and payment issues.
May prepare monthly and quarterly billing reports for management review.
Qualifications

Education
High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred

Experience
Billing Experience 2-3 years required

Knowledge, Skills and Abilities
- Strong attention to detail.
- Excellent interpersonal, written and verbal communication skills.- Proficient in Microsoft Office Excel and other relevant billing software.- Ability to prioritize and manage multiple tasks simultaneously.- Ability to work independently and as part of a team.- Ability to work in a fast-paced environment.
Additional Job Details (if applicable)

M-F Eastern Business hours required for remote role; shifts can range between 6AM-6PM EST Quiet, secure, stable, compliant work station required
Remote Type

Remote
Work Location

399 Revolution Drive
Scheduled Weekly Hours

40
Employee Type

Regular
Work Shift

Day (United States of America)
Pay Range

$19.81 - $28.30/Hourly
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.