Job Description
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
M-F 8am -4:30pm No weekends or Holidays.Responsible for facilitating the financial clearance process for patients and ensuring the accurate billing and collection of medical services by verifying insurance coverage, estimating patient financial responsibility, and collaborating with patients to address billing concerns and establish payment arrangements.
-Verify patient insurance coverage and benefits to determine eligibility and obtain necessary authorizations for scheduled medical services.
-Communicate with insurance companies to confirm coverage details and obtain pre-authorization for procedures when required.
-Counsel patients regarding their financial responsibilities, including co-pays, deductibles, and out-of-pocket costs.
-Provide accurate estimates of patient financial responsibility based on insurance information and procedure details.
-Collaborate with patients to establish payment plans and assist them in understanding their options for resolving outstanding balances.
-Process payments, set up automatic payment arrangements, and assist with financial assistance applications.
-Work closely with billing, coding, and revenue cycle teams to ensure accurate and timely billing of services.
-Act as a liaison between patients, insurance companies, and the hospital to resolve billing inquiries and disputes.
Qualifications
Education
High School Diploma or Equivalent required and Associate's Degree Business preferred or Associate's Degree Healthcare Management preferred or Associate's Degree Related Field of Study preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
Collections, financial counseling, insurance, or related experience 1-2 years preferred
Knowledge, Skills and Abilities
- Strong understanding of health insurance terminology, benefits, and billing processes.
- Excellent communication and interpersonal skills to interact effectively with patients, insurance representatives, and colleagues.
- Ability to explain complex financial concepts in a clear and understandable manner.
- Attention to detail and accuracy in documenting patient information and financial arrangements.
Additional Job Details (if applicable)
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
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$19.81 - $28.30/Hourly
Grade
3
EEO Statement:
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.
