Financial Coordinator I

Site: The Brigham and Women's Hospital, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

Brigham is a global leader, devoted to maintaining and restoring health for people everywhere. Brigham is composed of Brigham and Women’s Hospital (BWH), Brigham and Women’s Faulkner Hospital (BWFH), and Brigham and Women’s Physicians Organization (BWPO).

Brigham is an academic medical center with a firm commitment to its tripartite mission. From the clinical standpoint, Brigham serves patients from New England, throughout the United States, and from 120 countries around the world. These clinical services are supported at 2 hospitals and 150 outpatient practices, by more than 1,200 physicians. From the research standpoint, Brigham conducts the second largest hospital-based research program in the world, with an annual research budget of more than $630 million. And from the education standpoint, Brigham is a training ground for physicians, nurses, and allied health professionals. We have 1,100 trainees in over 140 of the most sought-after training programs in the world and also host Harvard Medical School students in rotations throughout our programs.

Brigham is an internationally recognized leader in transplantation services, providing advanced care for a wide spectrum of organ and tissue transplants, including kidney, pancreas, Renal, heart, face, hand, and bone marrow. Many transplant milestones have taken place here, including the world’s first successful human organ transplant, a kidney transplanted in 1954. Since this groundbreaking start, our transplant programs have continued to build upon this innovative spirit, and currently perform ~150 transplants each year.

The Financial Coordinator is a member of the multidisciplinary transplant team and has primary responsibility for coordinating financial aspects of care throughout all phases of the transplant process. The Financial Coordinator supports transplant financial coordination and solid organ transplant team.

 

Qualifications

The Financial Coordinator acts as a resource and financial counselor for transplant candidates and their families, providing financial guidance in a compassionate and tactful manner in order to help facilitate access and provide continuity of care.  The Financial Coordinator works extensively with the transplant team members, third party payers, government agencies, other funding agencies and hospital financial/billing staff.  He/she facilitates transplant billing and provides quality service to patients by providing comprehensive and ongoing financial counseling and by identifying and helping to resolve financial coverage issues.  

Overall duties

•    Meets with potential transplant patients to assess financial means and needs, and provide financial information and resources as needed.  Assists with financial planning.
•    Obtains detailed patient insurance benefit information and assists with verification of coverage relating to all aspects of the transplant process, including but not limited to: evaluation, transplantation, outpatient prescription drug benefits, post-transplant services, out-of-pocket maximums, and travel and housing if necessary.  Determines co-payment expectations and other potential out-of-pocket liability.
•    Serves as a resource for patients and family members on financial matters throughout the transplant process. Works with patients, their families, and transplant team members to address insurance coverage gaps and issues and investigates alternative funding options as necessary.
•    Advises transplant candidates on insurance and funding options including providing information regarding alternate funding and choices of insurance coverage i.e., Medicare and Medicaid eligibility, COBRA, Social Security Disability, retirement plans, etc. Provides information to patients regarding available medication assistance programs and assistance with co-payments, and organizations that can assist with fund-raising.  Assists with applications, eligibility guidelines and other necessary paperwork or process issues to access such assistance.
•    Keeps apprised of changes in federal and state (FDA/HFCA, etc.) guidelines and policies related to organ transplantation.
•    Obtains all necessary payer authorizations, verifies transplant coverage and other medical benefits as needed for pre/post-transplant and VAD p