New Patient Coordinator Financial Counselor

If you are an existing employee of South Shore Health then please apply through the internal career site. Location: Weymouth, MA New Patient Coordinator/Financial Counselor (NPC/FC) reports directly to the Operations Manager and is responsible for facilitating the new patient’s appointment and care with DFBWCC in clinical affiliation with South Shore Hospital. These functions may include, but are not limited to, collecting initial clinical data, collecting demographic and insurance information, providing clear and accurate financial information/options, and scheduling the initial visit. Contact with the new patient is the first introduction to the practice, and, as such, requires good interpersonal skills, a calm communication style, friendly responsiveness and efficient management of the patient encounter. He/she is expected to exhibit professional behavior through adherence to DFCI and site‑specific policies, procedures, and codes of conduct. The NPC/FC will provide coverage or assistance as needed to the Practice Coordinators as requested by management staff. The NPC/FC will coordinate directly with the Dana‑Farber Access Management staff at the Longwood campus, as appropriate, to process insurance eligibility, referrals, authorizations and financial counseling, working together to promptly assist the patient and resolve discrepancies. Compensation Pay Range: $22.12 – $29.77 per hour. Essential Functions Clinical Intake and Scheduling Guide patient through the appointment process, including expectations of the first appointment. Coordinate or obtain clinical documentation prior to the first visit, including medical records and reports from all prior applicable appointments, pathology slides, and/or radiology films. Understand the process of care and schedule appropriately for all clinical diagnoses. Consult with clinical staff as appropriate to determine urgency of first appointment for palliative or urgent cases. Be knowledgeable of financial arrangements, insurance coverage, and billing procedures. Schedule appointments in Epic or Aria capturing demographic, insurance, and disease information. Identify self‑pay or high‑risk financial patients; coordinate financial counseling as necessary. Mail or electronically send new patient packets to patients. Add referrals to referral tracking form and send appropriate end‑of‑day and weekly wrap‑up emails. Upload imaging CDs. Work closely with nursing and therapy to determine scheduling logistics including financial clearance, status board submission, and scheduling of simulation for urgent patients. Facilitate prior authorization for appointments as needed. Confirm all consultation appointments with patients via phone and answer any questions they may have. New Patient Care Coordination Carry out departmental quality assurance checks (e.g., consult notes) to ensure patient charts, documentation, and care are complete and accurate. Facilitate patient care process following consultation by ensuring that physicians enter status board requests for simulation and treatment in a timely manner. Monitor status board for approved cases and facilitate the scheduling of simulation. Ensure information from status board is transcribed into the patient simulation appointment. Confirm all simulation appointments with patients via phone, provide appropriate appointment preparation information, and answer any questions they may have. Financial Intake and Counseling Work directly with identified new patients or directed established patients to obtain accurate demographic and financial information from self‑pay and high‑financial‑risk patients. Utilize real‑time automated tools for insurance verification, eligibility, and benefits information; may require contacting insurance carriers. Communicate with insurance carriers, study team, and/or other providers to obtain required information on the patient’s behalf. Compile and submit all necessary documents and data to support requests for coverage of charges for services to be performed at DFCI. Communicate, as needed, with patients and/or their families to obtain financial information and/or address account concerns. Work with DFCI Patient Access and LROC billing to obtain financial clearance. Document all patient account correspondence in the appropriate note field, designated forms, or databases; this includes all incoming and outgoing telephone calls, referral number data, and any other account knowledge that becomes available. Participate in patient estimate cost/pricing requests and collect necessary treatment/service deposits, copays, and deductibles from patients. #J-18808-Ljbffr PVH (Tommy Hilfiger/Calvin Klein)