Patient Financial Counseling Representative
Mass General Brigham
Summary
Responsible for assisting patients in navigating the financial aspects of healthcare services. Provide guidance and support in understanding financial obligations, insurance coverage, and available assistance programs.
Job description
Job Summary
Responsible for assisting patients in navigating the financial aspects of healthcare services. Provide guidance and support in understanding financial obligations, insurance coverage, and available assistance programs.
Essential Functions
- Meet with patients or their representatives to explain the financial aspects of their healthcare services, including insurance coverage, copayments, deductibles, and out-of-pocket expenses.
- Provide clear and accurate information about available financial assistance programs, eligibility criteria, and application processes.
- Assist patients in understanding and completing financial aid applications, ensuring all required documentation is collected and submitted.
- Verify patients' insurance coverage, including eligibility, benefits, and pre-authorization requirements.
- Collaborate with insurance companies and healthcare providers to obtain necessary authorizations for procedures, treatments, or services.
Qualifications
Education: High School Diploma or Equivalent required and Bachelor's Degree Health Administration preferred. Can this role accept experience in lieu of a degree? No.
Experience: Experience in a healthcare financial services or patient advocacy role. 1-2 years preferred.
Knowledge, Skills and Abilities
- Knowledge of healthcare billing and reimbursement processes, insurance plans, and financial assistance programs.
- Familiarity with government programs such as Medicaid, Medicare, and Social Security is beneficial.
- Strong communication skills, with the ability to explain complex financial concepts in a clear and empathetic manner.
- Excellent organizational skills and attention to detail for managing documentation and application processes.
- Ability to handle sensitive and confidential information with professionalism and discretion.
- Proficiency in using relevant computer software and applications for data entry, documentation, and communication.
Additional Job Details
Certified Application Counselor through the Massachusetts Health Connector preferred.
This is a hybrid role, requiring an onsite presence at MGH main campus.
Requirements
- High School Diploma or Equivalent required
- Bachelor's Degree Health Administration preferred
- Experience in a healthcare financial services or patient advocacy role
- 1-2 years of experience preferred
- Knowledge of healthcare billing and reimbursement processes, insurance plans, and financial assistance programs
- Familiarity with government programs such as Medicaid, Medicare, and Social Security is beneficial
- Strong communication skills, with the ability to explain complex financial concepts in a clear and empathetic manner
- Excellent organizational skills and attention to detail for managing documentation and application processes
- Ability to handle sensitive and confidential information with professionalism and discretion
- Proficiency in using relevant computer software and applications for data entry, documentation, and communication
- Certified Application Counselor through the Massachusetts Health Connector preferred
Benefits
- Comprehensive benefits
- Career advancement opportunities
- Recognition programs
- Differentials, premiums and bonuses
Company overview
Mass General Brigham is one of the largest integrated healthcare delivery systems in the United States, formed through the merger of Massachusetts General Hospital and Brigham and Women's Hospital. Based in Boston, Massachusetts, this academic medical center system operates multiple hospitals, specialty facilities, and community health centers throughout New England. The organization is renowned for its world-class patient care, cutting-edge medical research, and comprehensive medical education programs. As a teaching affiliate of Harvard Medical School, Mass General Brigham trains the next generation of healthcare professionals while advancing medical science through groundbreaking research initiatives. The system provides a full continuum of healthcare services, from primary care and preventive medicine to complex specialty treatments and emergency services. With a focus on innovation and patient-centered care, Mass General Brigham consistently ranks among the top hospital systems in the nation for clinical excellence and research output.