Financial Operations Specialist

hace 3 semanas


Puerto Diablo Barrio, Puerto Rico Massachusetts General Hospital(Mgh) A tiempo completo

Job Summary:

The Financial Coordinator plays a vital role in the revenue cycle process at Massachusetts General Hospital (MGH). This position is responsible for managing the billing process, overseeing accounts, and identifying opportunities to improve revenue cycle performance.

Key Responsibilities:

  • Obtain insurance authorizations for elective and emergency admissions and procedures.
  • Understand notification requirements for date changes and status changes.
  • Coordinate the authorization and approval process in compliance with payer rules and regulations.
  • Negotiate with insurance companies to obtain procedure authorizations.
  • Work with practice staff to postpone or reschedule elective procedures if authorization cannot be obtained.
  • Confirm verification of benefits from insurers, domestic and foreign, corporations, and other third-party payers.
  • Develop estimates, collect deposits, and initiate transfers of funds to epic or appropriate sources.
  • Prepare billing summaries and compile claims for submission to patients and/or payers.
  • Collaborate with the Revenue Cycle Account Management team and MGPO Billing Managers.
  • Conduct follow-up and collection activity with third-party payers, insurers, and/or embassies.

Requirements:

  • High School Diploma or GED required; College education preferred.
  • Minimum of 3-5 years of relevant experience required; experience working in a hospital or related healthcare environment preferred.
  • Proficiency in medical terminology, office automation, and hospital-wide registration and billing systems required.
  • Proficiency in third-party reimbursement, billing, and collection processes required.

About Massachusetts General Hospital:

Massachusetts General Hospital is an Affirmative Action Employer. We choose to lead by embracing diverse skills, perspectives, and ideas. 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.



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