Hybrid Billing & Managed Care Coordinator

Partner's Healthcare; Boston (MA); Hybrid; USD 31,000 - 44,000; Full time

Job summary

Mass General Brigham is seeking a Billing Managed Care Coordinator to help patients navigate insurance and billing processes. You will obtain insurance approvals, ensure referrals, and support accurate reimbursement for services.

The ideal candidate has 2–3 years of managed care billing experience, knowledge of insurance practices, and strong organizational and communication skills. This hybrid, 40-hour weekly role at 15 Parkman Street offers a competitive pay range and comprehensive benefits.

Qualifications

• 2–3 years of managed care billing and collections experience.
• Prior authorizations and insurance referrals knowledge.
• Knowledge of insurance and reimbursement practices.

Responsibilities

• Obtain insurance approvals before services are initiated.
• Ensure required insurance referrals are received.
• Support accurate billing and reimbursement from managed care organizations.
• Review 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.

Skills

Prior authorizations

Insurance referrals

Medical billing

Charge entry

Insurance appeals

Denials management

Managed care billing

Patient coinsurance

Self-pay collections

Education

Associate's or Bachelor's degree

Tools

Billing software

Job description

Mass General Brigham is seeking a Billing Managed Care Coordinator to help patients navigate insurance and billing processes. You will obtain insurance approvals, ensure referrals, and support accurate reimbursement for services.

The ideal candidate has 2–3 years of managed care billing experience, knowledge of insurance practices, and strong organizational and communication skills. This hybrid, 40-hour weekly role at 15 Parkman Street offers a competitive pay range and comprehensive benefits.