Patient Financial Counseling Representative

Site: Mass General Brigham Incorporated

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

Summary:
-Responsible for assisting patients in navigating the financial aspects of healthcare services. Provide guidance and support in understanding financial obligations, insurance coverage, and available assistance programs.

Does this position require Patient Care? No

Essential Functions:
--Meet with patients or their representatives to explain the financial aspects of their healthcare services, including insurance coverage, copayments, deductibles, and out-of-pocket expenses.
-Provide clear and accurate information about available financial assistance programs, eligibility criteria, and application processes.
-Assist patients in understanding and completing financial aid applications, ensuring all required documentation is collected and submitted.
-Verify patients' insurance coverage, including eligibility, benefits, and pre-authorization requirements.
-Collaborate with insurance companies and healthcare providers to obtain necessary authorizations for procedures, treatments, or services.

Qualifications

Education
High School Diploma or Equivalent required and Bachelor's Degree Health Administration preferred

Can this role accept experience in lieu of a degree?
No

Experience
Experience in a healthcare financial services or patient advocacy role. 1-2 years preferred

Knowledge, Skills and Abilities
- Knowledge of healthcare billing and reimbursement processes, insurance plans, and financial assistance programs.
- Familiarity with government programs such as Medicaid, Medicare, and Social Security is beneficial.
- Strong communication skills, with the ability to explain complex financial concepts in a clear and empathetic manner.
- Excellent organizational skills and attention to detail for managing documentation and application processes.
- Ability to handle sensitive and confidential information with professionalism and discretion.
- Proficiency in using relevant computer software and applications for data entry, documentation, and communication.

Additional Job Details (if applicable)

Certified Application Counselor through the Massachusetts Health Connector preferred.

This is a hybrid role, requiring an onsite presence at MGH main campus.

Remote Type

Hybrid

Work Location

90 Blossom Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$19.81 - $28.30/Hourly

Grade

3At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

0100 Mass General Brigham Incorporated 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 Veteran’s 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 View phone number on aiapply.co.

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.