Managed Care Services Rep

Are you a compassionate and driven individual looking for a rewarding career in the healthcare industry? If so, Massachusetts General Hospital is seeking a Managed Care Services Rep to join our team. As a Managed Care Services Rep, you will play a crucial role in ensuring that our patients receive the best possible care and support. We are looking for candidates who possess excellent communication skills, attention to detail, and a strong understanding of managed care policies and procedures. If you are ready to make a positive impact on the lives of our patients, we encourage you to apply for this exciting opportunity.

1. Communicate with patients and insurance companies to verify coverage and obtain authorizations for medical procedures and treatments.
2. Collaborate with healthcare providers to ensure accurate and timely billing and reimbursement for services rendered.
3. Maintain up-to-date knowledge of managed care policies and procedures to effectively navigate insurance processes.
4. Advocate for patients' needs and act as a liaison between patients, insurance companies, and healthcare providers.
5. Educate patients on their insurance coverage and assist with any questions or concerns.
6. Review and analyze insurance claims to identify and resolve any discrepancies or denials.
7. Ensure compliance with HIPAA regulations and maintain patient confidentiality.
8. Work closely with billing and coding departments to ensure accurate and timely submission of claims.
9. Provide exceptional customer service and handle any patient complaints or issues related to managed care.
10. Attend trainings and seminars to stay abreast of changes in managed care policies and procedures.
11. Collaborate with other members of the healthcare team to develop and implement strategies for improving the managed care process.
12. Document all interactions with patients and insurance companies in a timely and accurate manner.
13. Adhere to departmental and hospital protocols and procedures.
14. Maintain a positive and professional attitude while representing the hospital and its values.
15. Continuously seek opportunities for professional growth and development to enhance job performance.

According to JobzMall, the average salary range for a Managed Care Services Rep in Somerville, MA, USA is $35,000 - $55,000 per year. This can vary depending on the specific company, experience level, and other factors. Some companies may offer lower salaries with the opportunity for bonuses or commission, while others may offer higher salaries with less room for bonuses or commission. It is important to research individual companies and their compensation packages for more accurate salary information.

Massachusetts General Hospital (Mass General or MGH) is the original and largest teaching hospital of Harvard Medical School located in the West End neighborhood of Boston, Massachusetts, United States. It is the third-oldest general hospital in the United States and has a capacity of 999 beds. With Brigham and Women's Hospital, it is one of the two founding members of Mass General Brigham (formerly known as Partners HealthCare), the largest healthcare provider in Massachusetts. Massachusetts General Hospital houses the largest hospital-based research program in the world, the Mass General Research Institute currently ranked as the eighth-best hospital in the United States by U.S. News & World Report.