Billing Managed Care Coordinator
Billing Managed Care Coordinator
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Job 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.
Job Summary
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.Essential Functions-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 organization
-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
Qualifications
Education
High School Diploma or Equivalent required or Associates Degree Related Field of Study preferred or Bachelors Degree Related Field of Study preferred
Experience
experience in managed care billing and collections 2-3 years required
Knowledge Skills and Abilities
- 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.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
Employment Type
Full-Time
