Financial Counselor
New England Baptist Hospital - Boston, MA

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GENERAL SUMMARY: Responsible for pre-certification of patients, patient visitation regarding registration and financial issues, answering questions regarding free care and payment plans. Acts as effective liaison with physicians/office staff and other hospital departments, promoting and supporting an excellent customer service atmosphere. Acts as a back-up for all admitting/registration functions.

PRINCIPAL FUNCTIONS:

1. 1. Exemplifies the values of New England Baptist Hospital and the ROSE philosophy.
2. Complies with all New England Baptist Hospital policies and the Code of Excellence.

Maintains a safe and clean work environment.

3. Department Specific Responsibilities:

Pre-Certification Responsibilities:

  • Examines surgical bookings, checking for appropriate level of service. Contacts physician’s office and/or insurance managed care departments when necessary to determine that pre-admission criteria has been met for desired type of admission. Obtains and helps coordinate admission approvals for all insurance requiring prior notification of hospital service.
  • Ensures compliance with Federal and State governmental and third party mandates such as admissions criteria, pre-admission approval, second surgical opinion, etc.
  • Maintains complete and accurate files relating to pre-admission clearance and second surgical opinions, etc. Updates and maintains accurate catalogue of all available insurance requirements as related to the admitting function.
  • Actively assists in the continuing education of MD/office and various hospital personnel related to insurance issues and acts as an accessible, consistent resource.
  • 4. Admitting/financial responsibilities:

  • Acts as a back-up for the Admission/ Registration functions which include patient registration, placement and booking.
  • Maintains thorough knowledge of all Admission/Registration policies and procedures and is able to relay this information to other staff and hospital departments.
  • Visits patients or family members for any questions or concerns they may have regarding financial matters and/or to review and obtain complete and accurate patient information. Refers patient or family to appropriate areas such as Social Service, Case Managers, Nurse Managers when necessary.
  • 5. Performs other related duties as required.

    KNOWLEDGE, SKILLS, AND ABILITIES:

  • High School required; BA or equivalent preferred.
  • 3-5 years Admitting experience, 1-2 years pre-admission experience, clerical and some billing experience preferred.


  • LICENSE,CERTIFICATION REQUIRED: None needed

    LIFE SUPPORT CERTIFICATION REQUIRED: None required

    POPULATION SPECIFIC REQUIREMENTS:

    1. None required

    PHYSICAL, MENTAL, AND VISUAL REQUIREMENTS:
      OSHA EXPOSURE: This position does not require any exposure to blood or body fluids.
    REPORTING RELATIONSHIP AND SUPERVISORY RESPONSIBILITY:

    1. Reports to the Manager, Patient Access

    2.

    New England Baptist Hospital - 10 months ago - save job - block
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