Admin Financial Coordinator (Full-Time)
Tufts Medicine
Administrative Financial Coordinator
Lowell General Hospital Medical Oncology department is seeking an experienced Administrative Financial Coordinator. This is a great opportunity to work close to home in a family friendly community hospital outpatient setting.
Hours: 40 hours per week, full time - Day Shift (8-4:30pm or 8:30-5pm)
Location: Lowell General Hospital-Medical Oncology
Job Overview
This position has collaborative reporting responsibilities to each manager responsible for financial oversight particular to their service line. Ensures the accuracy of technical billing. Verifies daily and post-discharge charges for billing accuracy, as per each service line's requirements. Works closely with the finance office and various insurance agencies to obtain prior authorizations and research claim denials. Understands the coverage specifics with various insurance agencies and engages physician(s) for additional supportive documentation as requested.
Minimum Qualifications:
- High school diploma or equivalent.
- One (1) year of patient registration or insurance experience.
Preferred Qualifications:
- Three (3) years of patient registration or insurance experience.
- Healthcare Access Associate (CHAA) Certification.
- Experience using computer-based, patient registration systems.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
- Performs daily and periodic verification of exported charges for submission accuracy in accordance with specific department requirements using the appropriate programs or software.
- Submits charge corrections in a timely manner, in accordance with hospital time constraints.
- Verifies patient accounts for valid submission of charges from treatments and visits.
- Works closely with the Finance Department and various insurance agencies to ensure all denials and questions on charges are answered within 24 hours.
- Obtains appropriate referrals for treatments and visits in a timely manner.
- Assists clerical staff with initial and on-going verification of insurance in a timely manner.
- Reviews daily schedule to ensure all charges have been captured by the responsible parties by the close of business.
- Obtains timely prior authorization of all treatments, studies, and medications.
- Maintains awareness of coverage specifics pertaining to each insurance company.
- Facilitates quality assurance reviews of selected charts for ongoing compliance with various insurance or auditing agencies, as requested.
- Engages physician(s) for additional supportive documentation as requested to facilitate authorization.
- Assists with compiling various department statistical data.
What We Offer:
Not only is Lowell General Hospital an exceptional place to work, offering a culture of recognizing and valuing employees, we provide amazing opportunities for our staff:
- Competitive salaries & benefits that start on day one
- Tuition Reimbursement
- 403(b) retirement plan with hospital match
- Opportunities for growth
- Free on-campus parking
About Lowell General
For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet-recognized community hospital. As a member of our team, you'll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.
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