Sr Patient Finance Rep

84546BR

Finance-Patient Access Center

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Status
Full-Time

Standard Hours per Week
40

Job Category
Finance,

Regular, Temporary, Per Diem
Regular

Pay Range
$22.35-$35.76 Hourly

Office/Site Location
Boston

Remote Eligibility
Full-Time Remote

Job Posting Description

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.

Manages daily assignments using standardized protocols and work queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines. Collects, verifies, and records all demographic information required for patient financial clearance in accordance with hospital policy. Verifies insurance eligibility utilizing available technologies, payer websites, or by phone contact with third party payers. Works in accordance with required State and Federal regulations and hospital policies. Ensures that correct insurance company name, address, plan, and filing order are recorded in the patient accounting system. Uses payer exception reports to update coverage / PCP information. Contacts PCP (primary care physician) offices to secure referrals and enter referrals into patient accounting system. Collaborates with clinical departments, case managers and clinical liaison to ensure payer authorizations are obtained timely. Proactively engages patients and family members to determine coverage limitations and financial liability. Communicates with physician offices, service sites and ancillary departments if referrals/authorizations are denied at least 72 hours prior to service date. Facilitates peer to peer reviews when needed to secure authorizations. Documents all actions taken on accounts with clear and concise account notes. Participates in process improvement activities.

The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

Boston Children’s Hospital is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, gender, sexual orientation, pregnancy, national origin, ancestry, ethnicity, age, disability, military or veteran status or any other classification protected by law in hiring, promotion, compensation and other terms and conditions of employment. Boston Children’s Hospital collects and maintains information regarding gender, race, and ethnicity for equal opportunity compliance purposes. Boston Children’s Hospital also is subject to various government recordkeeping and reporting requirements for the administration of civil rights laws and regulations.

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