Billing Managed Care Coordinator

Mass General Brigham•Boston, MA

1d•$22 - $32•Remote

About The Position

Responsible for obtaining appropriate insurance authorizations, referrals and payments for all patient visits and procedures as well as collection of patient service coinsurance, deductibles, and self-pay revenue. This role is fully remote and open to U.S.-based candidates only. Training for the first 90 days. This position does not support sponsorships for employment visa status.

Requirements

High School Diploma or Equivalent required or associate's degree Related Field of Study preferred, or bachelor's degree Related Field of Study preferred
Experience in managed care billing and prior authorization, insurance authorizations 2-3 years required
Knowledge of Medical terminology required
Knowledge of insurance and reimbursement practices.
Strong organizational, interpersonal, and communication skills.
Ability to analyze and interpret data and make informed decisions.
Ability to work independently and as part of a team.
Ability to work in a fast-paced environment.

Nice To Haves

Knowledge of healthcare billing software and systems is a plus.

Responsibilities

Obtains insurance approval prior to initiation of patient services
Responsible for ensuring insurance referrals are received
Ensure accurate and timely billing and reimbursement from managed care organizations
Review and process managed care contracts and agreements
Manage and monitor billing and collections activities
Provide training and support to other departments on managed care billing practices and procedures
Maintain up-to-date records of all managed care billing activities