Patient Financial Counseling Representative

Mass General Brigham•Boston, MA

2d•Hybrid

About The Position

The Patient Financial Counseling Representative assists patients in navigating the financial aspects of healthcare services. The role provides guidance about financial obligations, insurance coverage, and available assistance programs. It does not require patient care. This is a hybrid role requiring an onsite presence at the Mass General Hospital main campus, located at 90 Blossom Street. The position is scheduled for 40 hours per week on the day shift.

Requirements

High school diploma or equivalent required.
Experience in a healthcare financial services or patient advocacy role; 1–2 years preferred.
Knowledge of healthcare billing and reimbursement processes, insurance plans, and financial assistance programs.
Strong communication skills and ability to explain complex financial concepts clearly and empathetically.
Excellent organizational skills and attention to detail in managing documentation and applications.
Ability to handle sensitive and confidential information professionally and discreetly.
Proficiency with relevant computer software and applications for data entry, documentation, and communication.
Experience cannot be accepted in lieu of a degree.

Nice To Haves

Bachelor’s degree in Health Administration preferred.
Familiarity with government programs such as Medicaid, Medicare, and Social Security is beneficial.
Certified Application Counselor through the Massachusetts Health Connector preferred.

Responsibilities

Meet with patients or their representatives to explain insurance coverage, copayments, deductibles, and out-of-pocket expenses.
Explain available financial assistance programs, eligibility criteria, and application processes.
Help patients understand and complete financial aid applications, and collect and submit required documentation.
Verify insurance coverage, including eligibility, benefits, and pre-authorization requirements.
Collaborate with insurance companies and healthcare providers to obtain authorizations for procedures, treatments, or services.