Site: The Brigham and Women's Hospital, Inc.

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Job Summary

The Billing Managed Care Coordinator supports the Department of Neurology’s revenue cycle operations, with a primary focus on managed care processes including referrals, prior authorizations, eligibility, and denial resolution. This role reports to the Senior Administrative Director and works under the day-to-day guidance of the Lead Managed Care Coordinator, in close collaboration with Practice Administrators and clinical teams.

The coordinator is responsible for ensuring timely and accurate processing of authorizations and referrals, supporting billing workflows, and helping optimize reimbursement while maintaining a high standard of patient experience. The role requires strong attention to detail, effective communication, and the ability to navigate complex payer requirements.

Qualifications

High School Diploma or equivalent required.
Associate or bachelor’s degree in a related field preferred.
2–3 years of experience in managed care billing, authorizations, referrals, or revenue cycle operations required.

Knowledge, Skills, and Abilities:

Knowledge of insurance authorization, referral, and reimbursement processes
Familiarity with EPIC and payer verification systems (e.g., NEHEN) preferred
Strong organizational skills with high attention to detail and accuracy
Ability to analyze information, identify issues, and support resolution within established workflows
Effective interpersonal and communication skills (phone, written, and in-person)
Ability to manage multiple tasks and prioritize in a fast-paced environment
Ability to work both independently and collaboratively within a team setting
Proficiency in standard computer applications and healthcare systems
Professional demeanor with ability to handle sensitive information with discretion

Site: The Brigham and Women's Hospital, Inc.

Job Summary

Qualifications

High School Diploma or equivalent required.
Associate or bachelor’s degree in a related field preferred.
2–3 years of experience in managed care billing, authorizations, referrals, or revenue cycle operations required.

Knowledge, Skills, and Abilities:

Knowledge of insurance authorization, referral, and reimbursement processes
Familiarity with EPIC and payer verification systems (e.g., NEHEN) preferred
Strong organizational skills with high attention to detail and accuracy
Ability to analyze information, identify issues, and support resolution within established workflows
Effective interpersonal and communication skills (phone, written, and in-person)
Ability to manage multiple tasks and prioritize in a fast-paced environment
Ability to work both independently and collaboratively within a team setting
Proficiency in standard computer applications and healthcare systems
Professional demeanor with ability to handle sensitive information with discretion

Billing Managed Care Coordinator

Billing Managed Care Coordinator

Mass General Brigham Competency Framework

Mass General Brigham

Mass General Brigham

Benefits

Mass General Brigham