Managed Care Services Rep

Brigham and Women's Faulkner Hospital

Somerville, MA, United States
Base: $19.81 - $28.30phly; bonus/equity: not speci...
Fully remote
Verify insurance coverage and eligibility
Obtain pre-authorization from insurance companies
Process and submit insurance claims
Responsible for serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services

Job Summary

  • Responsible for serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
  • This role verifies insurance coverage, obtains pre-authorization for medical procedures, and facilitates timely billing and payment processes.
  • 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.

Matching Summary

Responsible for serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.

Salary

Base: $19.81 - $28.30/Hourly; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Verify insurance coverage and eligibility
  • Obtain pre-authorization from insurance companies
  • Process and submit insurance claims
  • Communicate with insurance companies
  • Handle sensitive and confidential information

Nice-to-have

  • Collaborate with healthcare providers
  • Educate patients about insurance benefits
  • Assist patients in navigating claims

Key Requirements

  • High School Diploma or Equivalent required
  • Associate's Degree Related Field of Study preferred
  • 2-3 years experience in healthcare administration, insurance authorization/verification, scheduling, or medical billing
  • In-depth knowledge of health insurance plans
  • Familiarity with medical terminology, coding systems, and healthcare billing processes
  • Proficient in computer systems and software applications

Work Rights

Not specified

Tailored Resume

Cover Letter