- Salary
- $25 – $36
- Location
- 399 Revolution Drive Somerville (Assembly Row Main Building), United States of America
- Workplace
- Remote
- Type
- Part-time
- Department
- Insurance
- Education
- Associate
- Source
- Workday
Description
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.
Job Summary
Responsible for verifying patient insurance coverage and benefits, confirming pre-authorizations, and obtaining necessary authorizations for medical services in order to support the revenue cycle by ensuring that insurance information is accurate, billing is appropriate, and claims processing proceeds smoothly.Essential Functions
-Obtain and verify patient insurance information, including policy details, coverage limits, and effective dates.
-Contact insurance companies or third-party payers to confirm eligibility, benefits, and co-payment or deductible amounts.
-Coordinate with healthcare providers and insurance companies to obtain pre-authorizations or prior authorizations for medical services, surgeries, or procedures.
-Explain insurance benefits and coverage details to patients, ensuring they understand their financial responsibilities and co-payment requirements.
-Enter accurate insurance information into the hospital's billing system and maintain updated records of insurance verification and authorization status.
-Assist the billing team in resolving insurance-related issues that may arise during the claims processing process.
-Communicate with patients to inform them of their insurance verification status and any potential financial obligations.
Qualifications
Education
High School Diploma or Equivalent required
Associate's Degree Healthcare Management or related field of study preferred
Experience
2+ years of healthcare billing experience preferred
Knowledge, Skills and Abilities
Knowledgeable of medical billing codes, insurance claim processing, and payment posting procedures.
Knowledge of healthcare billing regulations, HIPAA, and compliance requirements.
Strong attention to detail and data accuracy to ensure precise payment posting and reconciliation.
Excellent communication and customer service skills to interact with insurance companies, patients, and internal stakeholders.
Demonstrated problem-solving and critical-thinking skills to resolve payment discrepancies and denials effectively.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$25.50 - $36.49/Hourly
Grade
5
EEO Statement:
Mass General Brigham Competency Framework
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.
