BILLING MANAGED CARE COORDINATOR / BWH RADIOLOGY / M-F, 8:30AM - 5PM,

Company: Brigham and Women's Hospital
Location: Boston
Posted on: October 19, 2024

Job Description:

Job Description - Billing Managed Care Coordinator / BWH Radiology

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Schedule: M-F, 8:30am - 5pm
Job Code: (3273873)
Description:
Under general supervision of the Billing Managed Care Supervisor and/or Team Lead and Clinical Director of Radiology Scheduling and Prior Authorizations, the Billing Managed Care Coordinator (BMCC) functions as the primary interface between the Brigham Health Radiology Imaging Services, BWH Patient Service Center, insurance companies, patients, referring practices, and MGB/BWH Billing staff. The BMCC performs all tasks related to determining insurance eligibility, obtaining insurance authorizations for diagnostic imaging tests through various payor websites, portals, and telephone systems, and documents them in the Electronic Health Record (i.e. Epic). The BMCC has direct accountability for authorization-related financial outcomes, participates in performance tracking, reconciles denied cases, obtains retro-authorizations, participates in service improvement initiatives, and acts as the primary resource to BMCC staff. The BMCC will possess a broad knowledge of principles, practices, procedures, and demonstrate a track record of success.
Qualifications:

• 
  
• Working knowledge of billing processes, third-party insurance, prior authorization requirements/attainment, excellent customer support, and ability to master multiple computer systems within the probationary period.
  
• Bachelor's degree strongly preferred or related experience.
  
• 2-3 years hospital experience strongly preferred.
  
• Bilingual (Spanish) preferred but not required.
  
  Equal Opportunity Employer: Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.
  Primary Location:
  BWH Boston Main Campus, 75 Francis St, Boston, 02115
  Organization:
  Brigham & Women's Hospital (BWH)
  Schedule:
  Full-time
  Standard Hours: 40
  Shift:
  Day Job
  Posted Shift Description: M-F, 8:30am - 5pm
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