Third Party Claims Reviewer, Hybrid Position
4 weeks ago
The Third Party Claims Reviewer, Hybrid position is responsible for reviewing, following up, and collecting/resolving accounts for third-party payers in the EPIC system. This role requires strong communication and interpersonal skills to effectively work with patients, third-party representatives, and other hospital employees.
Key Responsibilities
Reviews assigned accounts to ensure timely resolution
Verifies claim denials and appeals
Creates updates and documents information relating to the financial status of accounts
Contacts patients and/or third-party representatives to secure additional information
Processes rejected claims
Requirements
Minimum of two years' experience as a patient account representative
Knowledge of HSN/Other Government regulations
Competency with Microsoft Office
EPIC experience a plus
Excellent interpersonal skills and strong team player
Work Environment
This is a hybrid position, requiring 1-3 days per week at the Assembly Row location and remote work. The ideal candidate will have a stable, secure, quiet, HIPAA-compliant workspace and be able to work Eastern business hours. Training is required 8a-4pm ET, Monday-Friday, with working shifts between 6a and 6p ET.
Mass General Brigham is an Equal Opportunity Employer
We are committed to creating a diverse and inclusive work environment that reflects the communities we serve. 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.
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