Denials Liaison
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
Under the direction of the Sr. Manager – Denial Prevention & Training, the Denials Liaison is responsible for the execution of denials prevention strategies for the Mass General Brigham enterprise. As a member of the denials prevention team, the Denials Liaison will drive continual improvement efforts to prevent insurance rejections and related write offs. The Denials Liaison is responsible for analysis, interpretation, and identification of insurance denials performance variations and opportunities; recommending process/system improvement initiatives and implementing those initiatives in collaboration with assigned entity Revenue Directors/denials teams. The Denials Liaison will lead assigned prevention initiative workgroups and present updates to RCO and entity leadership. The Denials Liaison collaborates with RCO departments (Financial Analysis, Payer Operations, Payer Contracting, Revenue Integrity, Coding, Finance, Mass General Brigham eCare, and Training). This role requires the ability to work independently, communicate effectively with leadership, excellent analytical skills and expertise in hospital operations and/or revenue cycle operations.
Qualifications
- Bachelor's degree required (Business Administration, Healthcare Management and/or Finance degrees preferred)
- 2+ years of experience in medical billing, coding, or revenue cycle management in a healthcare setting required
- Experience in denials management, appeals or other related role preferred
Knowledge, Skills and Abilities
- Ability to create and interpret complex analytic
- Must be an expert in Excel and PowerPoint.
- Excellent communication, presentation and interpersonal skills.
- Organizes work/resources to accomplish objectives and meet deadlines
- Demonstrates problem-solving skills related to denial analysis
- Demonstrates the willingness and ability to work collaboratively with other key internal and external staff, both to obtain necessary information to address denial management issues
- Ability to establish contacts and strong working relationships with revenue and administrative leaders across Mass General Brigham entities
- Maintains stable performance under pressure, demonstrating sensitivity to diverse organizational cultures Fiscal Duties Demonstrates fiscal responsibility by effectively using Mass General Brigham resources
Working Schedule:
- Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant working station
Pay Range
$63,648.00 - $92,570.40/Annual