Managed Care Assistant
Job Location:
Somerville, NJ - USA
Hourly Salary:
Posted on:
Vacancies:
Job Summary
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
Responsible for providing administrative support to Home Care. This position primarily focuses on insurance verification authorizations and reimbursement processes to ensure timely and accurate payments for healthcare services.Essential Functions
-Verify insurance coverage and eligibility for patients prior to scheduled procedures or admissions.
-Obtain and document necessary authorizations for services including pre-certification prior authorization and re-authorization from insurance companies.
-Assist patients in understanding their insurance benefits and coverage limitations.
-Liaise with healthcare providers insurance companies and patients to resolve any insurance-related issues or denials.
-Maintain accurate and up-to-date records of insurance verifications authorizations and reimbursement documentation.
-Collaborate with the billing department to ensure proper coding and billing practices for reimbursement.
-Assist patients in understanding their financial responsibilities including co-pays deductibles and out-of-pocket expenses.
Qualifications
Education
High School Diploma or equivalent required
Associates Degree Health Administration preferred
Experience
1 years of experience working in a hospital or healthcare setting preferred
Knowledge Skills and Abilities
Knowledge of insurance verification authorizations and reimbursement processes.
Familiarity with medical terminology and coding systems (e.g. CPT ICD-10) is desirable.
Proficient in using computer software applications including electronic health record systems and insurance verification platforms.
Excellent organizational skills with attention to detail and accuracy.
Strong interpersonal and communication skills to effectively interact with patients insurance providers and healthcare professionals.
Ability to work independently and collaboratively in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$19.81 - $28.30/HourlyGrade
3EEO 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:
Junior IC
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
