Billing Managed Care Coordinator
About The Position
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. 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.
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 collections 2-3 years 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
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
