Financial Coordinator- FPA CBO

Responsibilities

• Verifies insurance benefits for patients, determines patient liability and coordinates payment of uncovered medical expenses.
• Affords assistance to patients with insurance and payment issues and resolves problems as necessary.
• Obtains and verifies patients insurance benefit information from insurance companies or private payers regarding coverage for services.
• Obtains all necessary payer authorizations and acquires all required referrals for services to be provided.
• Negotiates and modifies rates with carriers.
• Communicates and informs patients of any potential patient out-of-pocket liability, and works out payment plans as necessary.
• May provides resources to bridge the gap between insurance coverage and patients liability if necessary.
• Affords assistance to patients with questions or problems regarding insurance coverage and other financial matters.
• Affords assistance in the resolution of any patient billing issues.
• Confirms patients coverage information previously obtained from insurance companies or private payers to ensure accuracy and that there has been no change in coverage since initial confirmation.
• Maintains and completes all insurance assessment forms and agreements and ensures they are accurate for claims processing.
• Performs other related duties.

  Qualifications

  • Associates degree in related field; Bachelors preferred, or combination of relevant experience and education.
  • 1+ year medical insurance experience (greater preferred) including medical office administration, benefit verification.

  Employer Description

  The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.