Billing Managed Care Coordinator

The General Hospital Corporation; Boston (MA); Hybrid; USD 31,000 - 44,000; Full time

Job summary

The General Hospital Corporation in Boston is seeking a Billing Managed Care Coordinator to support insurance authorizations, referrals, and reimbursement for plastic surgery services. You will work with patients and departments to ensure timely, accurate billing and effective managed care coordination.

Responsibilities include obtaining approvals before services, processing referrals, reviewing managed care contracts, and training staff on billing practices.

Qualifications

• High school diploma or equivalent required.
• Associate's or bachelor's degree in a related field preferred.
• 2-3 years of managed care billing and collections experience.
• Knowledge of insurance and reimbursement practices.
• Healthcare billing software familiarity is a plus.

Responsibilities

• Obtain insurance approvals before patient services are initiated.
• Ensure required insurance referrals are received.
• Support accurate and timely billing and reimbursement from managed care organizations.
• Review and process managed care contracts and agreements.
• Manage and monitor billing and collection activities.
• Collect applicable patient coinsurance, deductibles, and self-pay revenue.
• Maintain accurate, up-to-date managed care billing records.
• Provide training and support to other departments on managed care billing practices and procedures.

Skills

Managed care billing

Insurance authorizations

Charge entry

Billing and collections

Education

High school diploma

Associate's or bachelor's degree in related field

Tools

Healthcare billing software

Job description

Site: The General Hospital Corporation

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

Join our Plastic Surgery team as a Billing Managed Care Coordinator, where you'll play an important role in helping patients successfully navigate the insurance and billing process. This position is responsible for securing appropriate insurance authorizations and referrals, supporting accurate reimbursement, and managing key billing and collection activities.

Qualifications

Our Ideal Candidate

• Prior authorizations and insurance referrals
• Medical billing and coding processes
• Charge entry
• Insurance appeals and denials
• Managed care billing and reimbursement
• Patient coinsurance, deductibles, and self-pay collections

What You'll Do

• Obtain insurance approvals before patient services are initiated.
• Ensure required insurance referrals are received.
• Support accurate and timely billing and reimbursement from managed care organizations.
• Review and process managed care contracts and agreements.
• Manage and monitor billing and collection activities.
• Collect applicable patient coinsurance, deductibles, and self-pay revenue.
• Maintain accurate, up-to-date managed care billing records.
• Provide training and support to other departments on managed care billing practices and procedures.

What You'll Bring

• High school diploma or equivalent required.
• Associate's or bachelor's degree in a related field preferred.
• 2-3 years of managed care billing and collections experience required.
• Knowledge of insurance and reimbursement practices.
• Strong organizational, interpersonal, and communication skills.
• Ability to analyze and interpret data and make informed decisions.
• Healthcare billing software and systems knowledge is a plus.
• Ability to work independently and collaboratively in a fast-paced environment.

Additional Job Details (if applicable)

Remote Type

Hybrid

Work Location

15 Parkman Street

Scheduled Weekly Hours

40

Employee Type

Fixed Term

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 (857)-282-7642.

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 contri