Senior Manager, Patient Accts

Company: Brigham and Women's Hospital
Location: Somerville
Posted on: January 19, 2023

Job Description:

Job Description - Senior Manager, Patient Accts (3226351) About Us As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. General Overview The Senior Manager reports to the Director and is responsible for managing the day-to-day functions of the HPHC, TAHP, and AHP team for all MGB entities. The position requires thorough knowledge of Coverage and Billing for the Payer(s). Knowledge of all aspects of revenue cycle as well as a general knowledge of other departments in the unit is necessary to assist managers and director for efficient and timely compliant billing and resolution of the Account Receivable. Principal Duties and Responsibilities

• Use/s 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
• Responsible for the day to day functions of the HPHC, TAHp, and AHP Team
• Manage A/R follow-up and resolution using appropriate workflow tools in Epic and other systems
• Identify, analyze and escalate coverage and COB related issues impacting A/R
• Responsible for documenting and implementing policies and procedures related to the billing process
• Work as a liaison with MGB Corporate Billing, Compliance, and local entities to address denials, audits and documentation issues
• Prepare weekly and monthly reports as required to update director, CBO director, and Finance to ensure A/R goals are within budget
• Address department issues in the absence of the Director
• Ensures follow up, denials and appropriate collections are maintained for the unit
• Provide oversight for training, developing and monitoring all staff assigned to the Payer Group Accounts Receivable follow up team
• Motivate, train, hire, mentor and manage performance issues of staff according to MGB CBO policies
• Ensures all staff evaluations are completed timely
• Adhere to the organization's HIPAA Privacy guidelines
• Performs all other duties, assignments, and special projects as requested Qualifications
  • High School diploma required
  • Bachelor's Degree or equivalent experience preferred
    • 5 or more years relevant experience in a health care setting desired
    • EPIC Revenue system experience preferred
    • Alternative work experience or training in lieu of experience may be considered Skills/Abilities/Competencies
      • Competency in MS Office applications: Word, Excel, and Outlook
      • Ability to handle multiple tasks having complex procedural steps in a timely manner
      • Possess strong interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization
      • Ability to work self-sufficiently on assigned tasks without supervision and meet established deadlines Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. 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. Primary Location MA-Somerville-MGB Assembly Row Work Locations MGB Assembly Row Job Organization Mass General Brigham(PHS) Schedule Full-time Standard Hours 40 Shift Day Job Employee Status Regular Recruiting Department MGB Central Billing Office

Keywords: Brigham and Women's Hospital, Somerville , Senior Manager, Patient Accts, Accounting, Auditing , Somerville, Massachusetts