Job Summary This position insures that all required demographic, insurance and referral data is collected, verified, entered and communicated appropriately. Collaborates with physician offices, service sites, ancillary departments and insurance representatives to proactively complete patient financial clearance.
This Patient Finance Representative will be responsible for:
Managing daily assignments using standardized protocols and work queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
Collecting, verifying, and recording all demographic information required for patient financial clearance in accordance with hospital policy.
Verifying insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Working in accordance with required State and Federal regulations and hospital policies.
Ensuring that correct insurance company name, address, plan, and filing order are recorded in the patient accounting system.
Utilizing payer exception reports to update coverage / PCP information.
Contacting PCP (primary care physician) offices to secure referrals and entering referrals into patient accounting system.
Documenting all actions taken on accounts with clear and concise account notes.
Participating in process improvement activities.
To qualify, you must have:
High School degree/GED is preferred
An understanding of Microsoft Office and Experience with Epic registration system a plus
The ability to communicate effectively in English both orally and in writing
Good customer service skills and a basic understanding of computer systems are required. Familiarity with basic medical terminology is preferred.
The ability to resolve moderately complex problems requiring the use of basic scientific, mathematical, or technical principles
The ability to work as part of a team with diverse internal and external constituencies
Effective organizational skills and the ability to work in a fast-paced environment to ensure completion of assignments within established timeframes
Attention to detail and completion of tasks with accuracy
Hybrid/Remote if you live in MA, RI, NH, ME, or CT
Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.