Financial Counselor at Partner's Healthcare in dover, New Hampshire

Job Description:

Site: Wentworth-Douglass Hospital


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
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. Does this position require Patient Care? No


Essential Functions:
-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


Essential Functions:
-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.


Education
High School Diploma or Equivalent required


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


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)



Remote Type


Hybrid



Work Location


789 Central Avenue



Scheduled Weekly Hours


0



Employee Type


Per Diem



Work Shift


Day (United States of America)



EEO Statement:


Wentworth-Douglass 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.




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.