Financial Coordinator

Administrative/Clerical Worcester, Massachusetts


Position at UMass Memorial Medical Center

Everyone Is a Caregiver.

At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.

Requisition #: 216498
Title: Financial Coordinator
Department: Cancer Center
Location: UMass Memorial Medical Center
Grade: ADM7
Posting Date: 8/18/2021
Status: Non-Exempt
Shift: Days
Union:  SHARE
Hours: 40
Shift Length: 8
Position Summary:

Responsible for the coordination of all financial aspects of assigned area. Works with patients and their families beginning with the evaluation for medical care, and continuing through and after the medical procedures in order to help facilitate access to and provide continuity of care. Work closely with other members of the clinical and administrative teams, contracting, Patient Financial Services and insurers to advise of financial issues related to ability to obtain payment.

Major Responsibilities:
  • 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 pockets, 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).
  • Manage proper course of action for maximum reimbursement of health care charges: spend-down eligibility, cobra coverage, etc.
  • Establish contact with case manager at insurer, employers and self-insured groups as needed.
Position Qualifications:
Required License/Certification/Education:
  • Associate Degree.
Required Experience/Skills:
  • Minimum of 2 years financial experience in a hospital/medical related program.
  • Minimum of 2 years experience in medical insurance.
  • Demonstrates an understanding of insurance industry standards, payor payment methodologies, and managed care concepts.
  • Knowledge of insurance pre-certification and verification.
  • Knowledge of third-party regulatory guidelines.
  • Familiarity with medical terminology.
  • Excellent analytical and communication skills.
  • Knowledge of Medicare/Medicaid.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Standards of Respect: