Billing Managed Care Coordinator at Partner's Healthcare in Boston, Massachusetts

Job Description:

Site: The General Hospital Corporation


At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.


At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.


OB/Gyn IVF


Monday -Friday 8:30am to 5:00pm


Mandatory in office the first 90-day for in-person training in Boston and Danvers


Hybrid considered after successful completion of training and meeting job requirements



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 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


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)



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%)


• Foot Use Rarely (Less than 2%)


• 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)



EEO Statement:


The General Hospital Corporation is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.



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. Apply Now