At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Job Summary
Under the direction of the Patient Access Manager, Financial Counselors a re responsible for securing payment solutions for uninsured and underinsured patients to enable them to meet their financial obligations. Ensures the integrity of all data collected prior to or at time of service to ensure accurate benefits information and personally collects and facilitates the accurate and timely payment for services provided by leveraging available insurance solutions. Delivers superior internal and external customer service. Essential Functions: · Interview patients in person and on the telephone in a professional manner that results in positive patient relations and prompt reimbursement for the hospital. Provide guidance, direction and assistance to patients. - Interviews patients to determine eligibility for government assistance programs. - Assists patients with the completion of applications for state and federal programs. - Gathers documentation required for financial assistance applications. - Maintains ongoing communication with government agencies regarding the status of claims, following up with patients as necessary to obtain required documentation to ensure that the state gets the info needed to process the applications in a timely matter. · Provides updates and acts as a resource to hospital personnel including Patient Access, Case Management, and Social Services on financial matters as needed. · Screens all self-pay patients, identifies solution(s) and facilitates patient payment and/or solution application process. · Follows up and obtains all documentation required for application processing and accurately enters information into hospital and external systems as appropriate. - Establishes schedule for "walk in" insurance assistance applicants and facilitates application process for same. - Fields patient billing inquiries and refers to appropriate PFS staff for resolution. · Monitors, manages and actively follows up on active large self-pay and long length of stay accounts ensure solutions / solution modifications in place for patients and optimize ultimate payment for the hospital. · Interviews patient’s bedside as needed to facilitate timely and effective payments and/or complete insurance solution application process. · Identifies current and prior patient responsible balances, educates patients on their financial responsibilities, and collects self-pay pre-services such as Cosmetic. · Provides estimate of charges to customers such as patients and/or offices. - Delivers exemplary customer service for patients in accordance with hospital expectations / guidelines. - Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment. · Under supervision of mentor collects co-payments, deductibles, co-insurance, and other patient balances where applicable. · Under supervision of mentor accepts payment, releases change, and provides receipt with 100% accuracy as indicated by daily balancing. · Under supervision of mentor secures cash drawer according to departmental procedures with random quarterly balance checks 100% of the time. · Under supervision of mentor completes cashier functions for facility, patient inquiries and patient balances. Prepares daily cash receipts and process all petty cast requests.
Qualifications
Education · Associate degree preferred. High School Diploma or equivalent required. Experience · 2-3 years in hospital registration/billing office/clinic with a current working knowledge of registration, insurance, and billing requirements. · Epic experience preferred. License and Registration · N/A Knowdelge and Skills · Maintains working knowledge of private, public and third-party payer insurance and related regulations. - Proficient in department collection practices and concepts of third party, bad debt and free care regulations. - Demonstrated knowledge of federal and state Medical Assistance eligibility regulations and advanced knowledge of healthcare finance. - Achieve and maintain certification designation as “Certified Application Counselor”. - Knowledge of federal and state financial assistance programs. - Time management skills and attention to detail. - Adhere to all hospital and departmental policies and procedures.
Additional Job Details (if applicable)
Additional Job Description
Remote Type
Onsite
Work Location
2014 Washington Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Newton-Wellesley Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
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.