• Processing, reviewing, and filing insurance to the resolution of the claim payment • Assisting patients with billing questions and the collection of patient balances • Performing various functions in the processing of insurance billing and collections, including Medicaid/Medicare claims • Collecting and entering patient's insurance information into ACS Compumed System • Reviewing, verifying, and submitting insurance claims • Processing correspondence from Third Party Payors and responding to patient requests • Following up with insurance companies and ensuring claims are paid in a timely manner • Resubmitting insurance claims that have received no response • Answering telephones and providing/obtaining information to resolve billing and collection issues • Maintaining supporting billing information for future reference or audit purposes

Role Description Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact patients. All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues can grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and can impact the health and lives of millions of people. Pfizer, a global leader in the biopharmaceutical industry, is continuously seeking top talent who are inspired by our purpose to innovate to bring therapies to patients that significantly improve their lives. Pfizer has a deep heritage and leadership in cardiovascular disease, and we are committed to providing breakthroughs that change patients’ lives. An integral part of Internal Medicine, the Cardiology (CARD) Team’s mission is to promote a breakthrough therapy for patients suffering from NVAF or VTE. The CARD Health & Science Professional (HSP) is responsible for increasing territory sales and relationship development with assigned customers and accounts by engaging in product promotion and determining the best strategies to manage their business. - A CARD HSP should possess customer, market, and business acumen, analytical skills, and strong product and disease state knowledge. - Demonstrate ability to drive sales, promotional and strategic business development and management skills, and in-depth customer engagement expertise both in-person and virtually. - Demonstrate outstanding communication and teamwork skills. - Be adept in the operation of digital and virtual tools. - Be effective at working remotely in collaboration with cross-functional internal teams to address customer needs and compliantly deliver on Pfizer business objectives. Qualifications - Bachelor’s Degree - Minimum 2 years of experience in one or more of the following OR an associate’s degree with 6+ years of experience; OR high school diploma (or equivalent) with 8+ years of relevant experience: - Professional Sales or Promotional Activity - Small Business Owner or other Entrepreneurial experience, Marketing, Customer Service and/or Account Management - Relevant Healthcare/Scientific roles (e.g., RN, Pharmacist, PT, OT, etc.) - Educator (e.g., Teacher, Principal) - Full Time Military experience - Must live within 25 miles of the border of the territory. - Valid US driver’s license and driving record in compliance with company standards. Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired. Requirements - 1 year of pharmaceutical, biotech, medical sales and/or medical related marketing. - Strong track record of sales or marketing success, strong territory management skills, outstanding communications skills, as well as demonstrated teamwork, leadership ability and accountability. - Experience with applicable disease states, therapeutic area, and products. - Knowledge of posted territory customers and markets (prescribers/HCPs/institutions/organizations). - Reside within the territory boundaries. Benefits - Annual base salary ranging from $76,000 - $199,600. - Quarterly Sales Incentive bonus. - Comprehensive and generous benefits and programs to help colleagues lead healthy lives. - 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution. - Paid vacation, holiday and personal days, paid caregiver/parental and medical leave. - Health benefits to include medical, prescription drug, dental and vision coverage. - Relocation assistance may be available based on business needs and/or eligibility.

• Act as a contact for facility/client data and reporting requests including ad hoc data requests and routine reporting needs. • Partner with hospital/clinic leadership, finance teams, and RCM operational stakeholders to deliver actionable insights. • Ensure alignment between analytics, AR operations and client support functions. • Monitor and manage AR performance across all RCM client supported entities. • Identify and address aging trends, payer delays, and underperformance at facility or service-line level. • Partner with AR teams to prioritize high-value accounts and reduce backlog. • Provide visibility and accountability to facility leadership on AR performance. • Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital. • Focus the team's efforts and ensure diligent team follow-up are crucial to this position. • Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential. • Hands-on training of staff is a key element of this role. • Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials. • Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP's and process improvement processes. • Implement strategies to improve collection rates and reduce outstanding accounts receivable. • Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines. • Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better. • Identify areas for improvement and implement action plan to resolve payer and denial challenges. • Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence. • Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc). • Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions. • Proper utilization of federal and state credit collection regulations and guidelines. • Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.

Role Description The role monitors work queue volumes daily, adjusts team member schedules according to the strategic direction and goals set forth by management, and identifies trends for escalation. Monitors daily team performance and quality assessments, continuously working to improve people, processes, and technology across the team. Does this position require Patient Care? No Essential Functions: - Monitors work assigned to team members, proactively identifying high-risk accounts receivable requiring prompt attention. - Identifies, escalates, and solves technical and operational problems; understands and recognizes broader impact across the department in conjunction with payer rules and regulations. - Completes evaluations timely and coordinates team member coaching and training. - Onboards and motivates team members, connecting daily work to Mass General Brigham and RCO mission. - Evaluate work performance and complete productivity/quality assessments in a timely, including transparent communication on results. - Conducts frequent huddles and at least bi-weekly 1:1s to facilitate feedback from team members and ensure alignment with Patient Financial Services goals. - Supervises effective billing and follow-up team members to support timely charge review and claims submission in addition to no response, denial, and appeal follow-up, minimizing account touches. - Identifies, analyzes, and follows up on payer issues and denial trends, interacting with payer representatives and others to ensure accurate and timely follow-up. Qualifications - High School Diploma or Equivalent required - Leading others 0-1 year required - Relevant finance, accounting, denials, patient financial services 2-3 years required - Strong accounting knowledge and understanding theory. - Knowledge of generally accepted accounting procedures and principles supervising. - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions. - Excellent problem-solving and decision-making skills. - Strong written and oral communication skills. - Strong attention to detail and organization. Requirements - Remote Type: Remote - Work Location: 399 Revolution Drive - Scheduled Weekly Hours: 40 - Employee Type: Regular - Work Shift: Day (United States of America) - Pay Range: $79,560.00 - $115,720.80/Annual - Grade: 7 Benefits 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. EEO Statement 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. Company Description 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.