Third Party Reviewer

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POST DATE 9/9/2016
END DATE 11/9/2016

Partners HealthCare(PHS) Somerville, MA

Company
Partners HealthCare(PHS)
Job Classification
Full Time
Company Ref #
3024556
AJE Ref #
576126659
Location
Somerville, MA
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
Education
High School Diploma or GED

JOB DESCRIPTION

APPLY
ABOUT US
As a not-for-profit organization, Partners HealthCare is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Womens Hospital and Massachusetts General Hospital, Partners HealthCare 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.

Were focused on a people-first culture for our systems patients and our professional family. Thats why we provide our employees with more ways to achieve their potential. Partners HealthCare 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 developmentand we recognize success at every step.

Our employees use the Partners HealthCare 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 Liability (TPL) Reviewer under the general supervision of the Unit Supervisor is responsible for the reviewing, processing and resolution of the MVA and Workers Compensation Receivable for the Mass General Hospital, Brigham and Womens Hospital and Faulkner Hospital.

PRINCIPAL DUTIES AND RESPONSIBILITIES

1. Analysis/review of open balances for MVA/Workers Compensation Accounts until resolution

2. Detection/correction of account and billing information
3. Collection of medical record information when needed
4. Maintenance of outsourced accounts to vendors
5. Identify procedural, system, or other issues as they occur and communicate details to department supervisor or manager
6. Maintain records utilizing shared file areas or other mechanisms as appropriate.
7. Special projects, as assigned.

QUALIFICATIONS

A minimum of two years Patient Accounting experience or similar background with review work.
A High school diploma or equivalent required. Associated Degree preferred
Attention to detail and strong critical thinking skills
SKILLS/ABILITIES/COMPETENCIES

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

Partners HealthCare 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.