<p>Site: The Brigham and Women's Hospital, Inc.</p> <p>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.</p> <p>Monday through Friday 8:30am-5pm</p> <p>Mandatory in office the first 90-day for in person training.</p> <p>Remote considered after successful completion of training and meeting job requirements.</p> <p>Job Summary</p> <p>Summary Responsible for obtaining appropriate insurance authorizations, referrals and payments for all patient visits and procedures as well as collection of patient service coinsurance, deductibles, and self-pay revenue.</p> <p>Essential Functions-Obtains insurance approval prior to initiation of patient services</p> <ul> <li>Responsible for ensuring insurance referrals are received </li><li>Ensure accurate and timely billing and reimbursement from managed care organizations </li><li>Review and process managed care contracts and agreements </li><li>Manage and monitor billing and collections activities </li><li>Provide training and support to other departments on managed care billing practices and procedures </li><li>Maintain up-to-date records of all managed care billing activities </li></ul> <p>Qualifications</p> <p>Education</p> <p>High School Diploma or Equivalent required or associate's degree Related Field of Study preferred or bachelor's degree Related Field of Study preferred</p> <p>Experience</p> <p>experience in managed care billing and collections 2-3 years required</p> <p>Knowledge, Skills and Abilities</p> <ul> <li>Knowledge of insurance and reimbursement practices. </li><li>Strong organizational, interpersonal, and communication skills. </li><li>Ability to analyze and interpret data and make informed decisions. </li><li>Knowledge of healthcare billing software and systems is a plus. </li><li>Ability to work independently and as part of a team. </li><li>Ability to work in a fast-paced environment. </li></ul> <p>Additional Job Details (if applicable)</p> <p>Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)</p> <p>Remote Type</p> <p>Hybrid</p> <p>Work Location</p> <p>1620 Tremont Street</p> <p>Scheduled Weekly Hours</p> <p>40</p> <p>Employee Type</p> <p>Regular</p> <p>Work Shift</p> <p>Day (United States of America)</p> <p>EEO Statement:</p> <p>The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.</p> <p>Mass General Brigham Competency Framework</p> <p>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.</p>