Patient Finance Rep

Details

Posted: Unknown

Location:

Salary:

Summary:

Summary here.

Details

Posted: 25-Mar-26

Location: Needham, Massachusetts

Salary: 20.63 - 31.46

Categories:

Staff/Administrative

Internal Number: 151579846

Position Summary/ Department Summary:
Ensures all required demographic, insurance and referral data is collected, verified, entered and communicated appropriately. Collaborates with physician offices, service sites, ancillary departments and insurance representatives to proactively complete patient financial clearance. Identifies trends, denials, issues impacting account resolution or workload, and refers as appropriate.
Key Responsibilities:

• Manages daily assignments using standardized protocols and work queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
• Collects, verifies, and records all demographic information required for patient financial clearance in accordance with hospital policy.
• Verifies insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Works in accordance with required State and Federal regulations and hospital policies.
• Ensures that correct insurance company name, address, plan, and filing order are recorded in the patient accounting system.
• Utilizes payer exception reports to update coverage / PCP information.
• Contacts PCP (primary care physician) offices to secure referrals and enters referrals into patient accounting system.
• Documents all actions taken on accounts with clear and concise account notes.
• Participates in process improvement activities.

Minimum Qualifications
Education:

• High school diploma or GED required.

Experience:

• Ability to communicate effectively in English both orally and in writing and provide empathy in difficult interpersonal situations.
• Ability to resolve moderately complex problems requiring the use of basic scientific, mathematical, or technical principles is required.
• Good customer service skills and a basic understanding of computer systems are required. Familiarity with basic medical terminology is preferred.
• Ability to work as part of a team with diverse internal and external constituencies.

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

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About Boston Children's Hospital
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.
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