
Customer Service Representative II
Job Description
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
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.
Does this position require Patient Care? No
Essential Functions:
-Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances.
-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.
Qualifications
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)
Physical Requirements
- Standing Frequently (34-66%)
- Walking Frequently (34-66%)
- Sitting Occasionally (3-33%)
- Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
- Carrying Frequently (34-66%) 20lbs - 35lbs
- Pushing Occasionally (3-33%)
- Pulling Occasionally (3-33%)
- Climbing Rarely (Less than 2%)
- Balancing Frequently (34-66%)
- Stooping Occasionally (3-33%)
- Kneeling Occasionally (3-33%)
- Crouching Occasionally (3-33%)
- Crawling Rarely (Less than 2%)
- Reaching Frequently (34-66%)
- Gross Manipulation (Handling) Frequently (34-66%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$18.58 - $26.58/Hourly
Grade
3
EEO Statement:
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.