Financial Access Unit Coordinator
Financial Access Unit Coordinator
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Job Description
General Overview:
Under general direction of the Financial Services Supervisor the Financial Access Coordinator ensures that patient demographic and financial information is complete in the hospitals registration and billing systems by working directly with Patient Admitting Physicians Office Patient Accounts and third party payers. Determines eligibility and obtains authorizations from third party payers for all types of admissions/procedures (i.e. Surgical Day Care Inpatient Bedded Outpatients). Acts as a liaison among patients Admitting physician offices case management and third party payers ensuring that all third party payers requirements are met.
Major Responsibilities:
- Ensures that patients demographic and financial information is complete and accurate for all elective and emergent admissions day surgeries and bedded outpatient encounters.
- Verifies patient eligibility from third party payers for all elective and emergent admissions day surgeries and bedded outpatients.
- Obtains authorization 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. Also understands notification requirements for date changes and status changes. Requires understanding of coordination of benefits (COB)which includes conducting the Medicare as Secondary Payer Questionnaire (MSP) with Medicare patients.
- Required to have knowledge of patient eligibility/authorization process for various third party payers. Ensures that he/she has the most uptodate information on any changes to insurance contracts and/or insurance requirements.
- Determines and informs patient of potential liability prior to admission. Appropriately refers patients to and works as a team unit with Patient Financial Services for counseling if patient is unable to meet financial obligation. Collaborates with physicians and staff to coordinate rescheduling of patients until reimbursement can be guaranteed.
- Documents and posts all required information in hospitals registration and billing system (Epic) in order for claim to be released and billing cycle to begin. Has an understanding of MGH Credit and Collection Policy.
- Responsible for accuracy and quality of individual work assignment and a willingness to assist other team members validating the importance and value of team success.
Skills/Abilities/Competencies:
- Must be able to provide excellent customer service
- Ability to learn payer and department policies and regulations quickly and be able to incorporate them into the daily activities while maintaining a smooth operation
- Ability to communicate effectively and in a sensitive manner with patients and hospital staff via phone in person or in writing
- Must possess excellent organizational and prioritizing skills with the ability to multitask
- Ability to problem solve work under pressure and under very tight deadlines
- Energetic team player with positive attitude
- Adequate typing skills 30WPM) and familiarity with computers Microsoft Outlook Word Excel internet)
- Bilingual in English and another language a plus
Requirements:
* Associates/Bachelors Degree (preferred) or equivalent experience
MassachusettsGeneral Hospital is an Equal Opportunity Employer. By embracing diverseskills perspectives and ideas we choose to lead. Applicationsfromprotected veterans and individuals with disabilities are stronglyencouraged.
Required Experience:
IC
Employment Type
Full-Time
