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 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.
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.
Additional Job Details (if applicable)
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
At Mass General Brigham, our competency framework defines what effective leadership “looks like” 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.
