At Boston Children's Hospital, the quality of our care - and our inclusive hospital working environment - lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.
This Patient Finance Representative will be responsible to:
Manage daily assignments using standardized protocols and work queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines
Collect, verify, and record all demographic information required for patient financial clearance in accordance with hospital policy
Verify insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Work in accordance with required State and Federal regulations and hospital policies
Ensure that correct insurance company name, address, plan, and filing orders are recorded in the patient accounting system
Utilize payer exception reports to update coverage/PCP information
Contact PCP (primary care physician) offices to secure referrals and enters referrals into patient accounting system
Document all actions taken on accounts with clear and concise account notes
Participate in process improvement activities
To qualify, you must have:
A High School Diploma or GED is required
The ability to communicate effectively in English both orally and in writing.
Ability to resolve moderately complex problems requiring the use of basic scientific, mathematical, or technical principles is required
Ability to work as part of a team with diverse internal and external constituencies
Good customer service skills and a basic understanding of computer systems are required. Familiarity with basic medical terminology is preferred
Effective organizational skills and the ability to work in a fast-paced environment to ensure completion of assignments within established timeframes
Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organizational needs. Boston Children's Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounted rates on T-passes (50% off). Discover your best.
Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.