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.

While professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required.
Essential Functions-Obtains insurance approval prior to initiation of patient services
-Responsible for ensuring insurance referrals are received
-Ensure accurate and timely billing and reimbursement from managed care organizations
-Review and process managed care contracts and agreements
-Manage and monitor billing and collections activities
-Provide training and support to other departments on managed care billing practices and procedures
-Maintain up-to-date records of all managed care billing activities

Education
High School Diploma or Equivalent required or associate's degree Related Field of Study preferred or bachelor's degree Related Field of Study preferred

Experience
experience in managed care billing and collections 2-3 years required

Knowledge, Skills and Abilities
- Knowledge of insurance and reimbursement practices.
- Strong organizational, interpersonal, and communication skills.
- Ability to analyze and interpret data and make informed decisions.
- Knowledge of healthcare billing software and systems is a plus.
- Ability to work independently and as part of a team.
- Ability to work in a fast-paced environment.

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%)

The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
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