Billing Managed Care Coordinator
Description
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. 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.
Job Summary
Join our Plastic Surgery team as a Billing Managed Care Coordinator, where you’ll play an important role in helping patients successfully navigate the insurance and billing process. This position is responsible for securing appropriate insurance authorizations and referrals, supporting accurate reimbursement, and managing key billing and collection activities.
Qualifications
Our Ideal Candidate
We’re looking for someone with a strong foundation in healthcare billing and managed care who is organized, detail-oriented, and comfortable working in a fast-paced environment.
The ideal candidate will have experience or familiarity with areas such as:
- Prior authorizations and insurance referrals
- Medical billing and coding processes
- Charge entry
- Insurance appeals and denials
- Managed care billing and reimbursement
- Patient coinsurance, deductibles, and self-pay collections
What You’ll Do
- Obtain insurance approvals before patient services are initiated.
- Ensure required insurance referrals are received.
- Support accurate and timely billing and reimbursement from managed care organizations.
- Review and process managed care contracts and agreements.
- Manage and monitor billing and collection activities.
- Collect applicable patient coinsurance, deductibles, and self-pay revenue.
- Maintain accurate, up-to-date managed care billing records.
- Provide training and support to other departments on managed care billing practices and procedures.
What You’ll Bring
- High school diploma or equivalent required.
- Associate’s or bachelor’s degree in a related field preferred.
- 2–3 years of managed care billing and collections experience required.
- Knowledge of insurance and reimbursement practices.
- Strong organizational, interpersonal, and communication skills.
- Ability to analyze and interpret data and make informed decisions.
- Healthcare billing software and systems knowledge is a plus.
- Ability to work independently and collaboratively in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$22.22 - $31.71/Hourly
Grade
4
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.