Billing Managed Care Coordinator- REI/ IVF

Mass General Brigham Insurance Authorization Specialist

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 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.

Does this position require patient care? No

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 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

Qualifications

Education: High school diploma or equivalent required or associate's degree related field of study preferred or bachelor's degree related field of study preferred. Can this role accept experience in lieu of a degree? No

Licenses and credentials: 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

Physical Requirements

Standing occasionally (3-33%)

Walking occasionally (3-33%)

Sitting constantly (67-100%)

Lifting occasionally (3-33%) 20lbs - 35lbs

Carrying occasionally (3-33%) 20lbs - 35lbs

Pushing rarely (less than 2%)

Pulling rarely (less than 2%)

Climbing rarely (less than 2%)

Balancing occasionally (3-33%)

Stooping occasionally (3-33%)

Kneeling rarely (less than 2%)

Crouching rarely (less than 2%)

Crawling rarely (less than 2%)

Reaching occasionally (3-33%)

Gross manipulation (handling) constantly (67-100%)

Fine manipulation (fingering) frequently (34-66%)

Feeling constantly (67-100%)

Vision - far constantly (67-100%)

Vision - near constantly (67-100%)

Talking constantly (67-100%)

Hearing constantly (67-100%)

Remote type: Onsite

Work location: 32 Fruit Street

Scheduled weekly hours: 40

Employee type: Regular

Work shift: Day (United States of America)

Pay range: $22.22 - $31.71/hourly

Grade: 4

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO statement: 1200 The General Hospital Corporation is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at View phone number on click.appcast.io.