Financial Counselor/Referral Coordinator in Concord, Massachusetts at Emerson Hospital

Job Summary

Reports to the Manager of the Center for Weight Loss, the position serves as the office`s primary contact for insurance referrals and eligibility. Works closely with the Lead Financial Counselor/Surgical Scheduler, and assures that patients have Bariatric benefits prior to the start of their initial consultation. Assures that referrals are in place for all patient appointments.

• Education
  • Associates Degree preferred.
  • Work experience may be substituted for higher education.
• Experience
  • One to 3 years as a financial counselor at a hospital and/or authorization coordinator required
  • Knowledge of insurances, pre certification and referral procedures required
  • Experience in working with patients required
  • Experience in working with payers to appeal pre auth denials preferred
• Licensure and/or Certification
  • None required
• Skills
  • Knowledge of third party payors.
  • Knowledge of Medicare billing practices and regulations.
  • Insurance verifications experience.
  • Computer proficiency.
  • Excellent interpersonal skills are required to interact effectively with all organizational levels, with demonstrated organizational skills and ability to work accurately with detailed confidential information.
  • Must have the ability to read, write and communicate in English.
  • Must be highly organized, cooperative, and able to work well with others.
  • Ability to prioritize and perform multiple tasks.
  • Thorough understanding of team management concepts.
  • Comprehensive knowledge of medical terminology.
  • The ability to effectively communicate with external organizations as well as various levels of management required.