Remote Escalations Representative Jobs in Cape Cod, MA

Site: Mass General Brigham Incorporated

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 role monitors work queue volumes daily, adjusts team member schedules according to the strategic direction and goals set forth by management, and identifies trends for escalation. Monitors daily team performance and quality assessments, continuously working to improve people, processes, and technology across the team.
Does this position require Patient Care? No
Essential Functions:
-Monitors work assigned to team members, proactively identifying high-risk accounts receivable requiring prompt attention.
-Identifies, escalates, and solves technical and operational problems; understands and recognizes broader impact across the department in conjunction with payer rules and regulations.
-Completes evaluations timely and coordinates team member coaching and training.
-Onboards and motivates team members, connecting daily work to Mass General Brigham and RCO mission.
-Evaluate work performance and complete productivity/quality assessments in a timely, including transparent communication on results.
-Conducts frequent huddles and at least bi-weekly 1:1s to facilitate feedback from team members and ensure alignment with Patient Financial Services goals.
-Supervises effective billing and follow-up team members to support timely charge review and claims submission in addition to no response, denial, and appeal follow-up, minimizing account touches.
-Identifies, analyzes, and follows up on payer issues and denial trends, interacting with payer representatives and others to ensure accurate and timely follow-up.

Education:
High School Diploma or Equivalent required

Experience:
Leading others 0-1 year required and Relevant finance, accounting, denials, patient financial services 2-3 years required
Knowledge, Skills and Abilities
- Strong accounting knowledge and understanding theory.
- Knowledge of generally accepted accounting procedures and principles supervising.
- Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Excellent problem-solving and decision-making skills.
- Strong written and oral communication skills.
- Strong attention to detail and organization.

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$79,560.00 - $115,720.80/Annual

Grade

7

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

0100 Mass General Brigham Incorporated 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)-282-7642.

Mass General Brigham Competency Framework