Billing Managed Care Coordinator- REI/ IVF
About The Position
Site: The General Hospital Corporation 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. Full Time Onsite/hybrid days after 90 days of training Flexible schedule: 7am-3:30pm 7:30am-4pm 8am-4:30pm Job Summary 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.
- Knowledge of healthcare billing software and systems is a plus.
- Ability to work independently and as part of a team.
- Ability to work in a fast-paced environment.
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
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
