PATIENT ACCOUNTS COORDINATOR

4 weeks ago

Somerville MA United States Partners Healthcare System Full time
About Us

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.

We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.

Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

General Overview

The coordinator functions under the general supervision of the Unit Senior Manager and supervisor. The person over sees the Client, Skilled Nursing, VAWA, VOVC receivable for all MGB facilities in Epic. The coordinator will work with the entire Client team to ensure the reviewing, processing, and resolution of the receivable for all facilities in EPIC per department standards. Coordinator must be able to perform in a high volume and fast paced production environment with a high degree of accuracy and productivity including the difficult exception claims that occur. This individual should have the ability to take responsibilities and perform required tasks independently as well as in a team environment.

Principal Duties and Responsibilities

* To set up invoices for paper and electronic submission to responsible party
* Resolve billed client invoices by contacting both internal and external clients.
* Calculate payable portion per applicable contract and utilize available tools to secure proper payment from payer. This includes contacting payer as needed and reviewing contract and billing terms.
* Coordinate daily workflow and work with all Team members to ensure daily productivity targets and goals are met.
* Serve as escalation point for Staff to report issues/problems.
* Root cause analysis and translate day to day issues into specific and actionable resolution steps.
* Work in conjunction with Supervisor on issue research/resolution
* Ensure Staff always adhere to established Department Policies and Operational Procedures
* Train and assist other Team members whenever necessary.
* Communicate effectively with resources and groups outside of Patient Accounting
* Manage all issues through to resolution with applicable systems teams.
* As needed assignments.

Qualifications

* A minimum of five years Patient Accounting experience or similar background with review work.
* A High school diploma or equivalent required. Associated Degree preferred.
* Thorough knowledge and understanding of UB04 claim forms and data fields.
* Strong proficiency in MS Office applications: Word, Excel, Outlook required.
* Robust knowledge of Hospital, Payer, and industry rules and requirements

Skills/Abilities/Competencies

* Strong interpersonal skills required both verbal and spoken.
* Ability to handle complicated account problems in a timely manner.
* Ability to handle multiple tasks having complex procedural steps.
* Ability to effectively communicate with employees throughout the MGB network.
* Strong understanding of Excel and Access is required.
* Attention to detail a must.

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