Ā
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.
Ā
Job Summary
Responsible for analyzing, reporting, and optimizing revenue to support financial objectives. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements.Essential Functions
-Analyzes revenue cycle data to identify trends, variances, and areas for improvement.
-Collaborates with billing and claims teams to address revenue discrepancies and optimize billing accuracy.
-Prepares financial reports detailing revenue performance, payer reimbursement rates, and claims processing outcomes.
-Monitors key performance indicators (KPIs) for revenue cycle activities and identifies process improvement opportunities.
-Ensures compliance with billing regulations, payer requirements, and reimbursement guidelines.
-Develops and maintains revenue forecasting models to aid in strategic planning.
-Conducts root cause analysis of denied claims and collaborates with departments to implement corrective actions.
-Assists in the development and implementation of revenue policies and procedures to ensure consistent and effective practices.
-Liaises with departments to ensure seamless integration of revenue cycle processes with operational practices.
Ā
Qualifications
Education
- Bachelor's Degree Finance, Accounting, Healthcare Administration, or related field of study required. Equivalent experience may be accepted in lieu of degree
Experience
- 3+ years of experience in revenue cycle analysis, billing, claims processing, or financial analysis in a healthcare setting required
- Pharmacy experience preferred
Knowledge, Skills and Abilities
- Proficiency in revenue cycle management and data analysis tools.
- Advanced Excel skills and familiarity with billing software and revenue management systems.
- Strong problem-solving abilities and attention to detail.
- Excellent communication and collaboration skills to work across departments.
- Knowledge of billing regulations, reimbursement guidelines, and claims management practices.
Ā
Additional Job Details (if applicable)
Ā
Remote Type
Ā
Work Location
Ā
Scheduled Weekly Hours
Ā
Employee Type
Ā
Work Shift
Ā
Pay Range
$79,560.00 - $115,720.80/Annual
Ā
Grade
7
Ā
Ā
EEO Statement:
Ā
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership ālooks likeā 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.
Learn more about this Employer on their Career Site
