Billing Managed Care Coordinator

Mass General Brigham•Boston, MA

1d•Hybrid

About The Position

Join the Plastic Surgery team as a Billing Managed Care Coordinator, helping patients navigate insurance and billing. The role secures appropriate insurance authorizations and referrals, supports accurate reimbursement, and manages billing and collection activities. It also involves processing managed care contracts, maintaining billing records, collecting patient cost-sharing and self-pay revenue, and providing guidance to other departments on managed care billing practices. This is a hybrid position based at 15 Parkman Street, with 40 scheduled hours per week on the day shift. The position is listed as fixed term. The pay range is $22.22–$31.71 per hour.

Requirements

High school diploma or equivalent required.
2–3 years of managed care billing and collections experience 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 collaboratively in a fast-paced environment.

Nice To Haves

Associate’s or bachelor’s degree in a related field preferred.
Healthcare billing software and systems knowledge is a plus.
Experience or familiarity with prior authorizations and insurance referrals, medical billing and coding processes, charge entry, insurance appeals and denials, managed care billing and reimbursement, and patient coinsurance, deductibles, and self-pay collections.

Responsibilities

Obtain insurance approvals before patient services are initiated.
Ensure required insurance referrals are received.
Support accurate and timely billing and reimbursement from managed care organizations.
Review and process managed care contracts and agreements.
Manage and monitor billing and collection activities.
Collect applicable patient coinsurance, deductibles, and self-pay revenue.
Maintain accurate, up-to-date managed care billing records.
Provide training and support to other departments on managed care billing practices and procedures.