Billing Managed Care Coordinator

2 weeks ago


Boston, Massachusetts, United States Brigham and Women's Hospital Full time
Job Summary

The Brigham and Women's Hospital is seeking a highly skilled and detail-oriented Billing Managed Care Coordinator to join our team. As a key member of our Radiology Imaging Services department, you will be responsible for ensuring accurate and timely billing and insurance authorization for diagnostic imaging tests.

Key Responsibilities
  • Determine insurance eligibility and obtain authorizations for diagnostic imaging tests through various payor websites, portals, and telephone systems.
  • Document all tasks related to insurance authorization in the Electronic Health Record (Epic).
  • Participate in performance tracking, reconcile denied cases, and obtain retro-authorizations as needed.
  • Act as a primary resource to Billing Managed Care Coordinator staff and participate in service improvement initiatives.
Requirements
  • Working knowledge of billing processes, third-party insurance, and prior authorization requirements.
  • Excellent customer support and ability to master multiple computer systems.
  • Bachelor's degree or related experience preferred.
  • 2-3 years hospital experience strongly preferred.
  • Bilingual (Spanish) preferred but not required.
What We Offer

Brigham and Women's Hospital is an Equal Opportunity Employer. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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