Billing Managed Care Coordinator

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
• Must have EPIC and direct medical prior authorization experience for this position

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 :

managed care billing and collections 2-3 years required

Knowledge, Skills and Abilities

The Brigham and Women's Hospital, Inc. is an Equal Opportunity 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.