Financial Coordinator, IVF Center, 20 Hour, Days

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Exemption Status: Non-Exempt

Hiring Range: $22.29 - $32.04

Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.

Schedule Details: Monday through Friday

Scheduled

Hours:

8a-5p

Shift: 1 - Day Shift, 8 Hours (United States of America)

Hours: 20

Cost Center: 10010 - 4149 IVF Center

Union: SHARE (State Healthcare and Research Employees)

This position may have a signing bonus. A member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver. At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading‑edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

• Obtains detailed patient insurance benefit information for all aspects of the medical treatment process including, but not limited to, coverage and network requirements, outpatient prescription drugs, follow‑up clinic visits, and travel and housing if necessary.
• Reviews summary plan descriptions. Verifies specific co‑pays, deductibles, out‑of‑pocket amounts, contract maximum amounts, and outpatient pharmacy coverage for each patient.
• As necessary, coordinates with the contracting department (who obtains the highest reimbursement for services on a case‑by‑case basis).
• Manages proper course of action for maximum reimbursement of health care charges: spend‑down eligibility, COBRA coverage, etc.
• Establishes contact with case manager at insurer, employers and self‑insured groups as needed.
• Obtains insurance pre‑certification for patients as necessary.
• Monitors and updates patient insurance data, physician authorizations, preferred providers and documents in EMR with required financial guarantor notes.
• Coordinates with physicians and other clinical staff to ensure accurate knowledge of treatment protocols and issues.
• Coordinates and facilitates financial processes for treatment services in collaboration with Contracting, Patient Accounts, Physician Billing and Reimbursement, and other departments as necessary.
• Ensures compliance with Medicare/Medicaid regulations for treatment services.
• Determines eligibility for government assistance programs. Calculates and assesses discount percentages. Establishes payment arrangements and settlements appropriately.
• Acts as a liaison between patients and insurance companies to assist in the resolution of reimbursement issues. Facilitates resolution of patient billing issues.
• Serves as a resource for patients and their family members on financial matters.
• Attends and participates in daily/weekly meetings as necessary; communicates with members of the clinical team, patients, and their families in identifying any potential out‑of‑pocket expenses.
• Attends seminars and courses on relevant topics (i.e. Medicare/Medicaid, HMO's, UNOS, etc.), educating affected areas and applying updated information accordingly for complete compliance of federal regulations.

• Complies with established departmental policies, procedures and objectives.
• Attends variety of meetings, conferences, seminars as required or directed.
• Demonstrates use of Quality Improvement in daily operations.
• Complies with all health and safety regulations and requirements.
• Respects diverse views and approaches; demonstrates Standards of Respect and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
• Maintains regular, reliable, and predictable attendance.
• Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.