Patient Business Representative

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The Brigham and Women's Hospital, Inc.

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:

The Patient Business Rep (P ) functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and pharmacy financial assistance programs. The P  will serve as the primary practice contact when patients require assistance with various billing/financial related issues.

Essential Functions:

-Responsible for screening patients for Mass Health, Care Plus, Connector Care, Health Safety Net, assisting in the application process when appropriate.
-Submits applications all Massachusetts applications for health coverage via the Health Connector.
-Verify patients' insurance coverage and eligibility to ensure accurate billing and claims processing.
-Collect and record patient demographic and insurance information accurately during the registration process.
-Assists patients in applying for and/or understanding all other financial assistance programs or low cost insurance plans such as the Insurance Partnership, Medical Security Plan, and Health Connector Plans.
-Acts as patient representative in any cases submitted via the Health Connector, paper or over the phone, assisting the patient in deciphering notices received from EOHHS.
-Assists patients in the redetermination process for Mass Health, Connector Care and or Health Safety Net.
-Offer financial counseling and assistance programs to patients who may require financial support for medical services.
-Adhere to relevant billing regulations, insurance guidelines, and hospital billing policies to ensure compliance with healthcare laws and ethical standards.
-Acts as a liaison between the patients, hospital billing department and BWPO practices/billing agencies in addressing any billing related inquires and issues.
-Accepts and/or arranges payment for deductibles and outstanding balances.
** Qualifications
* * Education High School Diploma/GED required  Bachelor's Degree Health Administration /bachelor's degree Related Field of Study preferred
40 Hours / BWH Southern Jamaica Plain Health Center, 640 Center Street, Jamaica Plain    Experience  Registration/Hospital Patient Billing Experience 1-2 years preferred    Knowledge,

Skills and Abilities

- Knowledge of healthcare billing and insurance terminology, including CPT codes, ICD-10 codes, and insurance claim processing.  - Excellent communication and interpersonal skills to interact with patients, families, and hospital staff in a professional and empathetic manner.  - Strong attention to detail and accuracy in handling financial transactions and billing records.  - Ability to handle sensitive and confidential patient financial information with discretion.  

- Problem-solving skills to address billing inquiries and resolve payment-related issues.
** Additional Job Details (if applicable)
** Medical, Dental, and Vision insurance
• Tuition Reimbursement
• Generous Paid Time Off
• 50% Off MBTA passes
• Access to childcare resources and emergency backup care
• 403(b), Cash Balance Retirement Plan, and Tax-Sheltered Annuity options
• Exclusive “Perks” - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events)
** Remote Type
** Hybrid
* * Work Location
** 640 Centre Street
** Scheduled Weekly Hours
** 40
* * Employee Type
** Regular
* * Work Shift
** Day (United…