Patient Financial Counselor
Patient Financial Counselor
Posted on :
12-07-2025
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1 Vacancy
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Job Description
Site: Newton-Wellesley HospitalEducation Associate degree preferred. High School Diploma or equivalent required. Experience 2-3 years in hospital registration/billing office/clinic with a current working knowledge of registration insurance and billing requirements. Epic experience preferred. License and Registration N/A Knowdelge and Skills Maintains working knowledge of private public and third-party payer insurance and related regulations. - Proficient in department collection practices and concepts of third party bad debt and free care regulations. - Demonstrated knowledge of federal and state Medical Assistance eligibility regulations and advanced knowledge of healthcare finance. - Achieve and maintain certification designation as Certified Application Counselor. - Knowledge of federal and state financial assistance programs. - Time management skills and attention to detail. - Adhere to all hospital and departmental policies and procedures.Additional Job DescriptionOnsite2014 Washington Street40RegularDay (United States of America)Newton-Wellesley Hospital is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .
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
Under the direction of the Patient Access Manager Financial Counselors a re responsible for securing payment solutions for uninsured and underinsured patients to enable them to meet their financial obligations. Ensures the integrity of all data collected prior to or at time of service to ensure accurate benefits information and personally collects and facilitates the accurate and timely payment for services provided by leveraging available insurance solutions. Delivers superior internal and external customer service. Essential Functions: Interview patients in person and on the telephone in a professional manner that results in positive patient relations and prompt reimbursement for the hospital. Provide guidance direction and assistance to patients. - Interviews patients to determine eligibility for government assistance programs. - Assists patients with the completion of applications for state and federal programs. - Gathers documentation required for financial assistance applications. - Maintains ongoing communication with government agencies regarding the status of claims following up with patients as necessary to obtain required documentation to ensure that the state gets the info needed to process the applications in a timely matter. Provides updates and acts as a resource to hospital personnel including Patient Access Case Management and Social Services on financial matters as needed. Screens all self-pay patients identifies solution(s) and facilitates patient payment and/or solution application process. Follows up and obtains all documentation required for application processing and accurately enters information into hospital and external systems as appropriate. - Establishes schedule for walk in insurance assistance applicants and facilitates application process for same. - Fields patient billing inquiries and refers to appropriate PFS staff for resolution. Monitors manages and actively follows up on active large self-pay and long length of stay accounts ensure solutions / solution modifications in place for patients and optimize ultimate payment for the hospital. Interviews patients bedside as needed to facilitate timely and effective payments and/or complete insurance solution application process. Identifies current and prior patient responsible balances educates patients on their financial responsibilities and collects self-pay pre-services such as Cosmetic. Provides estimate of charges to customers such as patients and/or offices. - Delivers exemplary customer service for patients in accordance with hospital expectations / guidelines. - Demonstrates respect and regard for the dignity of all patients families visitors and fellow employees to ensure a professional responsible and courteous environment. Under supervision of mentor collects co-payments deductibles co-insurance and other patient balances where applicable. Under supervision of mentor accepts payment releases change and provides receipt with 100% accuracy as indicated by daily balancing. Under supervision of mentor secures cash drawer according to departmental procedures with random quarterly balance checks 100% of the time. Under supervision of mentor completes cashier functions for facility patient inquiries and patient balances. Prepares daily cash receipts and process all petty cast requests.Qualifications
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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.
Employment Type
Full-Time
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