Managed Care Services Rep
Boston, MA 02118
Job type: Temp/Contract
Duration: 4/5/21 -8/6/21
Hours: 8: 30am -5: 00 pm
Rate: 26-28 p/h
We are working with a major hospital in Boston looking for managed care services reps who will be responsible for working collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients and other parties to ensure that the required financial clearance insurance and demographic steps, managed care referrals and prior authorizations for specified specialty visits and other services are obtained and appropriately recorded in the relevant practice management systems for patient appointments/visits.
You will communicate with patients, physicians and insurance carrier representatives as necessary in order to accomplish this, utilizing available reports to follow-up on unresolved issues and denied claims. The
Associates Degree plus 1 - 2 years’ experience or HS/GED plus 3 + years’ experience.
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