BILLING MANAGED CARE COORDINATOR / BWH RADIOLOGY / M-F, 8:30AM - 5PM,
Company: Brigham and Women's Hospital
Location: Boston
Posted on: October 19, 2024
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Job Description:
Job Description - Billing Managed Care Coordinator / BWH
Radiology
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read the following job specs carefully before applying.
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:
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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Keywords: Brigham and Women's Hospital, Revere , BILLING MANAGED CARE COORDINATOR / BWH RADIOLOGY / M-F, 8:30AM - 5PM,, Healthcare , Boston, Massachusetts
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