Managed Care Services Rep

621

Remote, US
Base: $19.81 - $28.30phly; bonus/equity: not speci...
Fully remote
Verify insurance coverage and eligibility
Obtain pre-authorization for procedures
Process and submit insurance claims
Mass General Brigham is seeking a Managed Care Services Representative to serve as a liaison between patients, hospitals, and insurance companies, ensuring proper coordination and reimbursement for healthcare services. The role involves verifying insurance coverage, obtaining pre-authorizations, and educating patients about their insurance benefits

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 facilitating timely billing processes.
  • Mass General Brigham offers competitive base pay, comprehensive benefits, and opportunities for career advancement.

Matching Summary

Match Score: 85

Mass General Brigham is seeking a Managed Care Services Representative to serve as a liaison between patients, hospitals, and insurance companies, ensuring proper coordination and reimbursement for healthcare services. The role involves verifying insurance coverage, obtaining pre-authorizations, and educating patients about their insurance benefits.

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 disputes
  • Educate patients on benefits

Nice-to-have

  • Strong interpersonal communication skills
  • Detail-oriented organizational abilities
  • Problem-solving in healthcare settings

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
  • Knowledge of ICD-10 and CPT coding systems
  • Proficiency with insurance verification software

Work Rights

Not specified

Tailored Resume

Cover Letter