Customer Service Representative II

Site: The General Hospital Corporation

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
Responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital. Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances.

Qualifications

-Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims.
-Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances.
-Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives.
-Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission.
-Assist patients in understanding their medical bills, insurance coverage, and payment options.
-Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies.

Education
High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials

Experience
Collections Experience 2-3 years required

Knowledge, Skills and Abilities
- Knowledge of medical billing processes, insurance claim submission, and reimbursement principles.
- Familiarity with insurance plans, government programs, and their billing requirements.
- Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues.
- Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances.
- Attention to detail and accuracy in recording collection activities and maintaining documentation.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

55 Fruit Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Evening (United States of America)

EEO Statement:

The General Hospital Corporation 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 by 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)-.

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.