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Mass General Brigham is seeking a Patient Business Representative Team Lead at 15 Parkman Street, Boston, with a hybrid work arrangement. The role combines financial counseling, registration, and advocacy to help low-income and underinsured patients access coverage and financial assistance programs.
You will guide the team in navigating billing and revenue cycle issues in collaboration with multiple departments.
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.
High School Diploma or Equivalent required or Associate's Degree Healthcare Administration preferred or Associate's Degree Related Field of Study preferred.
Can this role accept experience in lieu of a degree? No Experience in a healthcare setting, with a focus on patient access and registration 2-3 years required.
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.
Hybrid
15 Parkman Street
$22.22 - $31.71/Hourly
4
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.
0100 Mass General Brigham Incorporated is an Equal Opportun