Director, Hospital/Professional Billing & Follow Up

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

Responsible for the efficient and effective oversight of Hospital and Professional Billing and Follow-Up activities. Monitors overall accounts receivable, clean claims, denial resolution, and payment trends to report on performance and implement best practice solutions. In partnership with key stakeholders, the Director, HB/PB Billing & Follow-Up, operationalizes the strategic direction for Patient Financial Services and continuously works to improve staff, processes, and technology approaches across the functions.

Does this position require Patient Care?
No

 

Essential Functions:

• Provide leadership and guidance to staff, including training, supervision, and performance management.
• Develops and implements efficient and effective operational policies, processes, and best practices.
• Manages day-to-day operations of Hospital and Professional Billing and Follow-up teams, including identifying and monitoring team success metrics and activities related to PFS functions.
• Identifies, analyzes, and follows up on payer issues and denial trends, interacting with MGB entities and practices, payer representatives, and others to ensure accurate and timely billing, appeals, and claims processing.
• Oversees continual improvement efforts to maximize revenue capture while ensuring compliance with all regulatory requirements.
• Identify operational impacts of and oversee the adoption of rapidly changing technology and regulatory aspects of health care and health care billing to ensure compliant operations.
• Implement the strategic direction for Hospital Billing and Follow-up and Payment Posting teams, and collaborate with direct reports, functional leaders, and on/offshore resources to drive alignment.

Education:
Bachelor's Degree Finance preferred or Bachelor's Degree Business Administration preferred or Bachelor's Degree Healthcare Administration preferred or Bachelor's Degree Related Field of Study preferred

Can this role accept experience in lieu of a degree?
Yes

Licenses and Credentials:

Experience:
Hospital patient accounts, hospital finance or related revenue cycle operations 3-5 years required and Management experience in Hospital patient accounts, hospital finance or related revenue cycle operations 3-5 years required and EPIC revenue cycle application experience 3-5 years required
 

Knowledge, Skills and Abilities:

• Excellent personnel management and organizational management skills.
• Manage change with proven success in leading executives, physicians, managers, and staff to achieve positive outcomes.
• Must be an engaged and approachable leader.
• Demonstrated ability to manage change.
• Ability to lead and motivate a team to achieve goals and objectives.
• Ability to lead, manage, and prioritize multiple projects and tasks.

 

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

 

Pay Range

$124,342.40 - $180,897.60/Annual

 

Grade

9

 

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 essenti