New

Medicare Billing Representative, Remote

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jul 31, 2025
PRINCIPAL DUTIES AND RESPONSIBILITIES: Achieve excellence in performance by working collaboratively with others on MGH (Massachusetts General Hospital), MGPO (Massachusetts General Physicians Org.), BWH (Brigham and Women's Hospital) and BWPO (Brigham and Women's Physicians Org.) Professional Billing Office initiatives. Supports and demonstrates the values of Massachusetts General Brigham by conducting activities ethically with integrity, honesty, and confidentiality. Demonstrates a positive, open-minded, can-do attitude. Represents a team perspective and willingness and enthusiasm to collaborate with others. Follows through on commitments and achieves desired results. Exhibits sound judgment, obtains the facts, examines options, gains support, and achieves positive outcomes. Always maintain high professional conduct standards. Represents the CBPO Professional Billing Office at events and projects external to the organization. Enthusiastically promote a cooperative team environment to provide value to all customers. Act as a leader in creating a positive atmosphere within the team. Listen and interact tactfully, diplomatically, and effectively without alienating others. Account Management Perform all aspects of the Billing Representative I position at a consistently high degree of proficiency. This entails a complete understanding of all department policies and procedures to execute all billing tasks with minimal direct supervision. This representative is expected to be a leader within the team in productivity, teamwork, efficiency, communication, and patient care. Act with minimal supervision, notice or direction to identify and resolve problems and complete work. Work the most sensitive Epic Workqueues, projects and/or accounts and provide immediate feedback to Team Supervisor on changes or modifications that need to be communicated to appropriate Liaison/department. Apply knowledge of insurance rules and regulations to interpret new insurance/HCFA/HIPAA information and report potential impact. Utilize experience and expertise to determine the correct course of action efficiently and effectively on each account/project. Effectively handle telephone inquiries from insurance companies and other departments within the PBO. Gather and interpret all relevant information to help resolve issues or complaints. Document issues thoroughly. Apply transfers and/or adjustments to invoices as needed to complete each invoice's resolution. Request necessary data as appropriate to resolve issue and trends once identified within their work files and follow through on resolutions to completion. Represent the department in meetings with other PBO or MGB staff and Insurance Representatives. QUALIFICATIONS:* High School diploma or GED equivalent required 1 year of experience in high volume medical billing and Billing/Accounts Receivable systems required. Epic knowledge preferred Effective communication, organizational and problem-solving skills Detailed working knowledge of medical terminology, ICD 10 coding and CPT, HCPCS preferred. *SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:* Excellence in customer service skills Effective communication and interpersonal skills to successfully interact with internal and external customers Effective organizational and problem-solving skills Ability to manage multiple tasks/projects simultaneously Demonstrated proficiency with a variety of automations, including but not limited to Epic, PATCOM, Meditech, INVISION, LMR, Microsoft Word, Excel, Email, and electronic data processing skills Established as a dynamic and positive team player, able to work independently and in a group/team setting Knowledge of medical billing, insurance rules and regulations required Detail oriented Adapt positively to changes in the work setting with ease Mass General Brigham Incorporated 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. 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.