Patient Business Representative Team Lead

Partner's Healthcare; Boston (MA); Híbrido; USD 30.000 - 44.000; Jornada completa

Descripción de la vacante

Mass General Brigham Incorporated is seeking a Patient Business Representative Team Lead to oversee patient access, registration and billing support. You will act as a financial counselor and navigator, guiding low-income patients to financial assistance and resolving complex billing issues in collaboration with multiple hospital teams.

Remote Type Hybrid; Work Location 1153 Centre Street; 40 hours weekly; pay range $22.22–$31.71 hourly.

Formación

• High school diploma or GED required; associate degree preferred.
• Knowledge of patient access procedures and insurance requirements.
• Strong communication and customer service skills; ability to handle sensitive information.

Responsabilidades

• Act as a department resource and assist in training new hires.
• Resolve complex billing and financial issues with patients and practices.
• Coordinate with Case Management, Social Work and Billing teams to secure coverage.
• Maintain confidentiality of patient information and documentation.
• Serve as primary contact for patients needing financial counseling and CAC training.

Conocimientos

Patient access procedures

Healthcare regulations

Excellent customer service

Communication skills

EMR proficiency

Educación

High School Diploma or GED

Associate's Degree in Healthcare Administration

Herramientas

Microsoft Office

Electronic Medical Records

Descripción del empleo

Site: Mass General Brigham IncorporatedMass 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.

The Patient Business Representative Team Lead reports directly to the Manager of Financial Counseling. The PBR Team Lead, under the direction of the Manager, is responsible for all the responsibilities of the Patient Business Representative positions. The PBR function as a financial counselor and registrar and is responsible for the in-depth evaluation serving as an advocate and navigator, assisting low-income, uninsured and underinsured patients with applying for financial assistance programs to secure healthcare coverage. The PBR Team Lead will serve as the primary practice contact when patients require assistance with various billing/financial related issues, which cannot otherwise be resolved by the practice service representative. The PBR Team Lead will have a strong working knowledge of all aspects of the billing/revenue cycle, managed care requirements, coding and compliance. Utilizing a variety of available resources and contacts the team lead counselor will assess and work towards the resolution of identified patient fiscal issues. The PBR Team Lead will work collaboratively with Case Management, Social Work, BWPO Practice Management, Patient Accounts, BWH Customer Service, Patient Relations, BWPO Billing Agencies, the Office of General Counsel, and State Agencies, e.g., EOHHS, DHCFP, etc. In addition, the Patient Business Representative Team Lead will act as a department resource, which include assisting in the training of new hires, or the retraining of existing hires. The PBR Team Lead will act as lead for teams, as assigned, which can vary. The PBR Team Lead will assist the Management team in projects as necessary and assigned.

Job DescriptionHigh School Diploma or Equivalent required or Associate's Degree Healthcare Administration preferred or Associate's Degree Related Field of Study preferredCan this role accept experience in lieu of a degree?NoExperience in a healthcare setting, with a focus on patient access and registration 2-3 years required

Knowledge, Skills and Abilities

• Knowledge of patient access procedures, healthcare regulations, and insurance coverage.
• Excellent customer service skills, including active listening, empathy, and effective communication.
• Ability to prioritize tasks, work independently, and manage multiple projects simultaneously.
• Proficiency in Microsoft Office and electronic medical record systems.

Additional Job Details (if applicable) Additional Job Description

• Interpersonal relationship skills necessary to communicate effectively with patient/family, physicians and their support staff, medical staff, nursing staff, other hospital personnel and many external organizations and agencies.
• The technical knowledge of specific legal and regulatory requirements and an understanding of complex third party and medical assistance polices and procedures.
• Knowledge of the hospital information system with emphasis on accounts receivables programs.
• Ability to function independently and prioritize work within established policies.
• Must complete MassHealth's curriculum for Certified Application Counselor (CAC) and maintain certification renewal annually.
• Requires good judgment, tact, sensitivity and the ability to function in a stressful environment.
• Ability to maintain confidentiality regarding the patients, their medical histories, demographic and fiscal information, etc.

Remote Type HybridWork Location 1153 Centre StreetScheduled Weekly Hours 40Employee Type RegularWork Shift Day (United States of America)Pay Range $22.22 - $31.71/HourlyGrade 4

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. 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 under 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.