Managed Care Services Rep

Brigham and Women's Faulkner Hospital

Unknown, US
Base: $19.81 - $28.30phly; bonus/equity: not speci...
**
Verify insurance coverage and eligibility
Obtain pre-authorization for procedures
Process and submit insurance claims
** Brigham and Women's Faulkner Hospital is seeking a Managed Care Services Representative to act as a liaison between the hospital, patients, and insurance companies, ensuring seamless reimbursement processes for healthcare services. The ideal candidate should possess in-depth knowledge of health insurance plans and strong communication skills, with prior experience in healthcare administration or medical billing. **

Job Summary

  • This role serves as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement.
  • The position requires verifying insurance coverage, obtaining pre-authorizations, and educating patients about their benefits and financial responsibilities.
  • Mass General Brigham offers competitive base pay, comprehensive benefits, and opportunities for career advancement within a not-for-profit organization.

Matching Summary

Match Score: 75

** Brigham and Women's Faulkner Hospital is seeking a Managed Care Services Representative to act as a liaison between the hospital, patients, and insurance companies, ensuring seamless reimbursement processes for healthcare services. The ideal candidate should possess in-depth knowledge of health insurance plans and strong communication skills, with prior experience in healthcare administration or medical billing. **

Salary

Base: $19.81 - $28.30/Hourly; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement, differentials, premiums, and bonuses

Skills & Requirements

Must-have

  • Verify insurance coverage and eligibility
  • Obtain pre-authorization for procedures
  • Process and submit insurance claims
  • Resolve insurance denials and coverage issues

Nice-to-have

  • Strong interpersonal communication skills
  • Detail-oriented problem-solving abilities
  • Proficient in healthcare billing software

Key Requirements

  • High School Diploma or Equivalent required
  • 2-3 years experience in healthcare administration or medical billing
  • Associate's Degree in related field preferred

Work Rights

Not specified

Tailored Resume

Cover Letter