H-1B Visa Managed Care Coordinator Jobs
Managed Care Coordinator roles qualify for H-1B visa sponsorship as specialty occupations requiring a bachelor's degree in health administration, nursing, or a related field. Employers in health plans, hospital systems, and third-party administrators regularly file LCAs through DOL and petition USCIS for these positions.
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Get Access To All JobsINTRODUCTION
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
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
KEY RESPONSIBILITIES:
Authorization, Referral, and Eligibility Management
- Obtain insurance authorizations prior to initiation of patient services
- Ensure all required insurance referrals are received, complete, and accurately documented
- Perform demographic and insurance eligibility checks in EPIC, NEHEN, and other payer systems; update or escalate discrepancies
- Facilitate referral and prior authorization requests with payers and specialty pharmacies via phone, fax, and payer portals
- Maintain accurate and timely documentation of all authorization and referral activity in EPIC
Billing & Reimbursement Support
- Be up to date on rules and eligibility of patient plans from managed care organizations
- Monitor and take action on work queues related to missing authorizations, referrals, and denials. Must be done in appropriate timeframe to ensure it is done within the standard timeframe to resubmit.
- Partner with Lead managed care coordinator and/or billing teams to resolve authorization- and referral-related denials and support reprocessing or appeals
Collections & Financial Coordination
- Support collection workflows for patient responsibility, including co-insurance, deductibles, and self-pay balances where applicable
- Assist in identifying and escalating payer or patient-related issues that may impact reimbursement
Operational Workflow Support
- Follow established department workflows and managed care processes
- Scan provider schedules for non-contracted plans and escalate issues to Practice Administrators or Lead Coordinator
- Maintain up-to-date tracking mechanisms and records of managed care activities (authorizations, referrals, denials)
- Participate in Department Appointment Review (DAR) follow-up activities where applicable
- Take direction from team lead and collaborate with team members to review, adopt and maintain workflows and best practice
- Serve as back up to other Billing managed care coordinators and other administrative staff
Collaboration & Communication
- Work closely with Practice Administrators, registration teams, billing staff, and clinical teams to ensure accurate information flow
- Communicate clearly with patients regarding authorization requirements, status updates, and responsibilities related to their care
- Serve as a resource for routine managed care process questions and escalate complex issues to the Lead Managed Care Coordinator
- Serve as back up to other staff
Process Improvement & Quality
- Identify workflow inefficiencies and communicate opportunities for improvement to the Lead and leadership team
- Support implementation of standardized workflows, tools, and best practices across sites
- Maintain working knowledge of payer policies, billing requirements, and system updates
Training & Documentation Support
- Support training and onboarding of new staff as directed by the Lead Managed Care Coordinator
- Adhere to and help maintain departmental policies, procedures, and workflow documentation
OTHER DUTIES
- Attend departmental and practice meetings as required
- Ensure compliance with all hospital, state, and federal regulations (including HIPAA and Joint Commission standards)
- Perform other duties as assigned, that may include but not limited to supporting provider(s)
Physical Requirements
- Standing Occasionally (3-33%)
- Walking Occasionally (3-33%)
- Sitting Constantly (67-100%)
- Lifting Occasionally (3-33%) 20lbs - 35lbs
- Carrying Occasionally (3-33%) 20lbs - 35lbs
- Pushing Rarely (Less than 2%)
- Pulling Rarely (Less than 2%)
- Climbing Rarely (Less than 2%)
- Balancing Occasionally (3-33%)
- Stooping Occasionally (3-33%)
- Kneeling Rarely (Less than 2%)
- Crouching Rarely (Less than 2%)
- Crawling Rarely (Less than 2%)
- Reaching Occasionally (3-33%)
- Gross Manipulation (Handling) Constantly (67-100%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
REMOTE TYPE
Hybrid
WORK LOCATION
45 Francis Street
SCHEDULED WEEKLY HOURS
40
EMPLOYEE TYPE
Regular
WORK SHIFT
Day (United States of America)
PAY RANGE
$22.22 - $31.71/Hourly
GRADE
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO STATEMENT:
2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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.
INTRODUCTION
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
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
KEY RESPONSIBILITIES:
Authorization, Referral, and Eligibility Management
- Obtain insurance authorizations prior to initiation of patient services
- Ensure all required insurance referrals are received, complete, and accurately documented
- Perform demographic and insurance eligibility checks in EPIC, NEHEN, and other payer systems; update or escalate discrepancies
- Facilitate referral and prior authorization requests with payers and specialty pharmacies via phone, fax, and payer portals
- Maintain accurate and timely documentation of all authorization and referral activity in EPIC
Billing & Reimbursement Support
- Be up to date on rules and eligibility of patient plans from managed care organizations
- Monitor and take action on work queues related to missing authorizations, referrals, and denials. Must be done in appropriate timeframe to ensure it is done within the standard timeframe to resubmit.
- Partner with Lead managed care coordinator and/or billing teams to resolve authorization- and referral-related denials and support reprocessing or appeals
Collections & Financial Coordination
- Support collection workflows for patient responsibility, including co-insurance, deductibles, and self-pay balances where applicable
- Assist in identifying and escalating payer or patient-related issues that may impact reimbursement
Operational Workflow Support
- Follow established department workflows and managed care processes
- Scan provider schedules for non-contracted plans and escalate issues to Practice Administrators or Lead Coordinator
- Maintain up-to-date tracking mechanisms and records of managed care activities (authorizations, referrals, denials)
- Participate in Department Appointment Review (DAR) follow-up activities where applicable
- Take direction from team lead and collaborate with team members to review, adopt and maintain workflows and best practice
- Serve as back up to other Billing managed care coordinators and other administrative staff
Collaboration & Communication
- Work closely with Practice Administrators, registration teams, billing staff, and clinical teams to ensure accurate information flow
- Communicate clearly with patients regarding authorization requirements, status updates, and responsibilities related to their care
- Serve as a resource for routine managed care process questions and escalate complex issues to the Lead Managed Care Coordinator
- Serve as back up to other staff
Process Improvement & Quality
- Identify workflow inefficiencies and communicate opportunities for improvement to the Lead and leadership team
- Support implementation of standardized workflows, tools, and best practices across sites
- Maintain working knowledge of payer policies, billing requirements, and system updates
Training & Documentation Support
- Support training and onboarding of new staff as directed by the Lead Managed Care Coordinator
- Adhere to and help maintain departmental policies, procedures, and workflow documentation
OTHER DUTIES
- Attend departmental and practice meetings as required
- Ensure compliance with all hospital, state, and federal regulations (including HIPAA and Joint Commission standards)
- Perform other duties as assigned, that may include but not limited to supporting provider(s)
Physical Requirements
- Standing Occasionally (3-33%)
- Walking Occasionally (3-33%)
- Sitting Constantly (67-100%)
- Lifting Occasionally (3-33%) 20lbs - 35lbs
- Carrying Occasionally (3-33%) 20lbs - 35lbs
- Pushing Rarely (Less than 2%)
- Pulling Rarely (Less than 2%)
- Climbing Rarely (Less than 2%)
- Balancing Occasionally (3-33%)
- Stooping Occasionally (3-33%)
- Kneeling Rarely (Less than 2%)
- Crouching Rarely (Less than 2%)
- Crawling Rarely (Less than 2%)
- Reaching Occasionally (3-33%)
- Gross Manipulation (Handling) Constantly (67-100%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
REMOTE TYPE
Hybrid
WORK LOCATION
45 Francis Street
SCHEDULED WEEKLY HOURS
40
EMPLOYEE TYPE
Regular
WORK SHIFT
Day (United States of America)
PAY RANGE
$22.22 - $31.71/Hourly
GRADE
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO STATEMENT:
2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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.
See all H-1B Visa Managed Care Coordinator Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Managed Care Coordinator Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Managed Care Coordinator
Verify your degree meets specialty occupation standards
USCIS requires your degree field to directly relate to managed care coordination. A health administration, public health, or nursing degree strengthens your case. A general business degree may trigger an RFE, so gather transcripts showing relevant coursework before applying.
Search LCA filings by occupation code
Managed Care Coordinator filings appear under SOC code 11-9111 in DOL disclosure data. Use Migrate Mate to filter employers who have filed LCAs for this occupation, so you target companies with a verified H-1B sponsorship track record for this specific role.
Target health plan and payer-side employers first
Managed care coordination roles at insurance carriers and integrated delivery networks generate more H-1B filings than standalone clinics. Payer-side employers typically have dedicated HR teams familiar with the I-129 petition process, which reduces filing errors and delays.
Confirm the offered wage meets DOL prevailing wage
Before accepting an offer, check the OFLC Wage Search for the prevailing wage in your employer's county under SOC 11-9111. Your offer must meet or exceed the Level I or Level II wage to satisfy LCA certification requirements.
Ask about cap-exempt employer status during interviews
Hospitals affiliated with nonprofits or academic medical centers may qualify as cap-exempt H-1B employers, letting you start any time of year without waiting for the April lottery. Confirm this directly with HR before the offer stage.
Align your start date with the 60-day grace period
If you're transitioning from OPT or a prior H-1B, your 60-day grace period begins when your previous employment ends. Your new employer must file the I-129 before that window closes to maintain your lawful status through the transfer.
H-1B Visa Managed Care Coordinator: Frequently Asked Questions
Does a Managed Care Coordinator role qualify as an H-1B specialty occupation?
Yes, provided the position requires at least a bachelor's degree in a directly related field such as health administration, public health, or nursing. Roles that accept any bachelor's degree regardless of field are more vulnerable to RFEs. Employers strengthen the petition by documenting that the job duties require specialized healthcare knowledge tied to a specific degree.
Which employers sponsor H-1B visas for Managed Care Coordinators?
Health insurance carriers, integrated delivery networks, Medicaid managed care organizations, and hospital systems are the most consistent H-1B sponsors for this role. You can find employers with verified LCA filing history for Managed Care Coordinator positions on Migrate Mate, filtered by occupation and geography so you're not applying blind.
How does the H-1B lottery affect my timeline for a Managed Care Coordinator job?
If your target employer is cap-subject, your employer must register during USCIS's March lottery window, and employment can't start before October 1 of that fiscal year. Nonprofit hospitals and academic medical centers are often cap-exempt, allowing an earlier start date. Clarify your employer's cap status before negotiating your start date.
What SOC code applies to Managed Care Coordinator roles for LCA purposes?
Most Managed Care Coordinator positions are filed under SOC code 11-9111 (Medical and Health Services Managers) in the DOL's LCA process. Some employers file under SOC 29-9099 depending on clinical duties. The SOC code determines the prevailing wage level USCIS and DOL require, so verify which code your employer plans to use before the LCA is filed.
Can I transfer my H-1B to a new managed care employer mid-year?
Yes. Under H-1B portability rules, you can begin working for a new cap-subject employer as soon as they file a non-frivolous I-129 transfer petition, without waiting for approval, as long as you've been in valid H-1B status. Your new employer must file a fresh LCA at the prevailing wage for the new work location before submitting the petition.