Billing Managed Care Coordinator
4 weeks ago
As a Billing Managed Care Coordinator at Brigham and Women's Hospital, you will serve as the primary interface between our radiology imaging services, insurance companies, patients, and referring practices. Your key responsibilities will include determining insurance eligibility, obtaining authorizations for diagnostic imaging tests, and documenting them in our Electronic Health Record (Epic).
Key Responsibilities:- Determine insurance eligibility and obtain authorizations for diagnostic imaging tests
- Document authorizations in the Electronic Health Record (Epic)
- Reconcile denied cases and obtain retro-authorizations
- Participate in performance tracking and service improvement initiatives
- Act as a primary resource to Billing Managed Care Coordinator staff
- Bachelor's degree or related experience
- 2-3 years hospital experience strongly preferred
- Bilingual (Spanish) preferred but not required
- Working knowledge of billing processes, third-party insurance, and prior authorization requirements
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.
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