Financial Coordinator

Massachusetts General Hospital
United States, Massachusetts, Boston
165 Cambridge Street (Show on map)
Jun 04, 2025
Under the direct supervision of the Practice Manager, the Financial Coordinator is responsible for proactive management of the dental billing process, account oversight and supervision of the revenue cycle to identify opportunities to improve revenue cycle performance. This detail and service-oriented individual collaborates and coordinates on finance-related issues with patients, payers, client specialists, client liaisons, Practice Manager and other finance areas throughout the organization. PRINCIPAL DUTIES AND RESPONSIBILITIES: In order of importance, list essential areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation. This section should be completed as a bulleted list and explain how the role is performed. Obtains insurance authorizations for all elective and emergency appointments and procedures by providing necessary information as required by third party payersin an appropriate time frame. Understands notification requirements for date changes and status changes. Requires a complete understanding of coordination of benefits(which includes conducting the Medicare as Secondary Payer Questionnaire (MSP) with Medicare patients), third party payers and managed care plans. Informs patient and admitting physician of any potential health insurance authorization concernsprior to appointment/procedure. Coordinates the authorization and approval process in full compliance with payer rules and regulations. Negotiates and orchestrates clinical conversations between MGH physicians and insurance company in order to get a procedure authorized for service. Works with practice staff to postpone and/or reschedule elective procedures if authorization cannot be obtained prior to date of service. Confirms verification of benefits from insurers, domestic and foreign, corporations, and other 3rd party payers. Develops dental estimates, collects deposits, payments and initiates transfer of funds to epic or appropriate source. Works with management on all billing related process improvement projects. Maintains accurate, up-to-date records of financial transactions in all relevant systems. Prepares dental billing summaries and compiles claims for submission to patient and/or payer. Collaborates regularly and positively with the Billing Representative III, Practice Manager and the MGPO Billing Managers. Conducts follow-up and collection activity with third party payers, insurers, and/or embassies Enters appropriate comments in all billing systems. Responds to patient billing and estimate inquiries, including requests for itemized bills and summary statement. Identifies billing and registration system issues and brings such to management's attention for resolution. Works with management to establish departmental billing/insurance policies and procedures as appropriate. Brings problematic payers and accounts to the attention of the Practice Manager. Acts as a key contact to physicians, care team and patients for insurance questions and all aspects of access to care. Performs patient registration and admissions functions as needed. Attends appropriate department and practice meetings. Performs other duties or special projects that are Department specific and that are appropriate to this level of position. SKILLS & COMPETENCIES REQUIRED: This section should be a bulleted list of minimum requirements explaining the skills (what the individual is trained for) and competencies (measurable as defined by the job) necessary to perform the job. Excellent verbal and written communications skills Effective analytical skills Excellent interpersonal skills and ability to develop effective relationships with individuals at all levels in the organization Proficiency in medical and dental terminology, office automation and hospital wide registration and billing systems required Proficiency in third party reimbursement, billing and collection processes required Provide outstanding customer service Team player, works well with others Analytically oriented; strong attention to detail Ability to work well under pressure and to handle sensitive information and multicultural matters Ability to manage a large and varied work load Excellent judgment skills with the ability to interface effectively with multinational patients, guests and payer sources Strong computer skills required Proactive, solution-oriented Typing in excess of 40 words per minute Familiarity with the MGH environment preferred LICENSES, CERTIFICATIONS, and/or REGISTRATIONS: Specify minimum credentials and clearly indicate if required or preferred. Not Applicable EDUCATION: Minimum Required: High school diploma, GED or equivalent Preferred: Some college; Associate's Degree; Bachelor's Degree EXPERIENCE: Required: Minimum of 3-5 years of relevant experience Preferred: Experience working in a hospital or related health care environment preferred Experience with dental billing, coding and epic system(s) preferred The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.