New

Revenue Cycle Payer Liaison

Mass General Brigham (Enterprise Services)
remote work
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
May 12, 2025
The Opportunity Reporting to the Manager of Payer Operations, this position's primary focus will be on physicians and other professional providers. The role will provide support to facilitate communication between Mass General Brigham (MGB) Revenue Cycle Operations, and other MGB corporate departments, facility entities, physician groups, and payers, in the identification and resolution of operational issues impacting revenue cycle functions. Lead outward facing workgroups with Payers oDevelop and maintain excellent working relationship with Payer representative(s) oMaintenance of project plans oInitiation of, and/or participation, in negotiation of issue resolution oPresentation of recommendations and outcomes to senior management Escalate identified issues for resolution. oPerform necessary research and scoping of issue. oMay be required to review claim details and remittance documents. Prepare and present information for various cross functional team meetings, internal and external to PHS. Coordinate implementation activities related to newly contracted Payers and/or programs. Monitor changes to Payer policies and communicate as needed, on a timely basis. Contribute to department efforts to present revenue cycle/payer related information, network wide. Research ad hoc industry related queries upon request, document findings and communicate to relevant parties. Work with MGB Contracting to resolve issues pertaining contract terms and to understand contract language as it relates to identified issues. Participate in process improvement initiatives within Revenue Cycle Operations, including but not limited to Everybody Solves Problems(ESP) Represent physician and facility departments at meetings/presentations as requested/required. May be required to support set up of new business/practices. Bachelor's Degree preferred in areas such as Healthcare Management, Finance and /or insurance, or other related Field of Study, MGB can review and consider experience in lieu of a degree Healthcare Billing/Revenue Cycle Management Experience, 3-5 years required Knowledge, Skills and Abilities Microsoft Office: Excel, Word, and PowerPoint. Epic system functionality, preferred. Strong oral and written communication skills Excellent interpersonal skills, including strong customer service orientation. Ability to work effectively as member of team. Self-motivated, resourceful, and able to take initiative. Knowledge of revenue cycle workflows- physician based processes Working Conditions and Requirements* M-F Eastern Business hours required Full Time Remote work requires stable, quiet, secure, compliant work area Mass General Brigham Incorporated 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 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.