THIRD PARTY REVIEWER

About Us

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, MGB supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.

We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development—and we recognize success at every step.

Our employees use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

General Overview

The Third-Party Reviewer under the general supervision of the Unit Supervisor is responsible for the reviewing, processing, and resolution of the Client receivable for all facilities in EPIC.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• To set up invoices for paper and electronic submission to the payers
• Resolve billed client invoices by contacting both internal and external clients
• Calculate payable portion per applicable contract and utilize available tools to secure proper payment from payer. This includes contacting payer as needed and reviewing contract and billing terms
• As needed assignments

• A minimum of two years Patient Accounting experience or similar background with review work.
• A High school diploma or equivalent required. Associated Degree preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

• Strong proficiency in MS Office applications: Word, Excel, Outlook required.
• Strong written and verbal skills.
• Ability to handle complicated account problems in a timely manner.
• Ability to handle multiple tasks having complex procedural steps

• Strong proficiency in MS Office applications: Word, Excel, Outlook required.
• Strong written and verbal skills.
• Ability to handle complicated account problems in a timely manner.
• Ability to handle multiple tasks having complex procedural steps

Mass General Brigham 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 the law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment.