Financial Coordinator

Under the direct supervision of the Administrative Manager, the Financial Coordinator is responsible for proactive management of the billing process, account oversight, and supervision of the revenue cycle to identify opportunities to improve revenue cycle performance. This detail and service-oriented individual collaborates and coordinates on finance-related issues with patients, payers, client specialists, client liaisons, Administrative Manager, and other finance areas throughout the organization.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Obtains insurance authorizations for all elective and emergency admissions and procedures by providing necessary information as required by third party payers including Admit Worksheet, clinical, PCP referral, etc. in an appropriate time frame.
• Understands notification requirements for date changes and status changes. Requires a complete understanding of coordination of benefits (which includes conducting the Medicare as Secondary Payer Questionnaire (MSP) with Medicare patients), third party payers, and managed care plans.
• Informs patient and admitting physician of any potential health insurance authorization concerns prior to admission/procedure. Coordinates the authorization and approval process in full compliance with payer rules and regulations.
• Confirms verification of benefits from insurers, domestic and foreign, corporations, and other 3rd party payers.
• Develops estimates, collects deposits, payments, and initiates transfer of funds to epic or appropriate source.
• Works with management on all billing-related process improvement projects.
• Maintains accurate, up-to-date records of financial transactions in all relevant systems.
• Prepares billing summaries and compiles claims for submission to patient and/or payer.
• Collaborates regularly and positively with the Revenue Cycle Account Management team and the MGPO Billing Managers.
• Conducts follow-up and collection activity with third party payers, insurers, and/or embassies.
• Enters appropriate comments in all billing systems.
• Responds to patient billing and estimate inquiries, including requests for itemized bills and summary statements.
• Identifies billing and registration system issues and brings such to management’s attention for resolution.
• Works with management to establish departmental billing/insurance policies and procedures as appropriate.
• Brings problematic payers and accounts to the attention of the Administrative Manager.
• Acts as a key contact to physicians, nurses, care team, and patients for insurance questions and all aspects of access to care.
• Compiles financial reports and provides various complex financial, statistical, and productivity reports.
• Performs data analysis and makes recommendations to Administrative Manager and the faculty.
• Performs patient registration and admissions functions as needed.
• Attends appropriate department and practice meetings.

Performs other duties or special projects that are Department specific and that are appropriate to this level of position.

SKILLS & COMPETENCIES REQUIRED:

• Excellent verbal and written communications skills.
• Effective analytical skills.
• Excellent interpersonal skills and ability to develop effective relationships with individuals at all levels in the organization.
• Proficiency in medical terminology, office automation, and hospital-wide registration and billing systems required.
• Proficiency in third party reimbursement, billing, and collection processes required.
• Team player, works well with others.
• Analytically oriented; strong attention to detail.
• Ability to work well under pressure and to handle sensitive information and multicultural matters.
• Ability to manage a large and varied workload.
• Excellent judgment skills with the ability to interface effectively with multinational patients, guests, and payer sources.
• Proactive, solution-oriented.
• Typing in excess of 40 words per minute.
• Familiarity with the MGH environment preferred.

EDUCATION:

High School Diploma or GED required. College education preferred.

EXPERIENCE:

• Minimum of 3-5 years of relevant experience required.
• Experience working in a hospital or related health care environment preferred.
• Experience with medical billing, coding, and epic system(s) preferred.

Massachusetts General Hospital is an Affirmative Action 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.

Primary Location

Work Locations

MGH 15 Parkman

15 Parkman Avenue

Job

Finance/Accounting

Organization

Massachusetts General Hospital (MGH)

Schedule

Full-time

Standard Hours 40

Shift

Day Job

Employee Status

Regular