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We are seeking a Patient Financial Services Coordinator to join a world-renowned hospital in Boston, MA. In this role, you will manage the financial clearance process and coordinate insurance coverage for patients receiving radiology services and imaging procedures. Serving as the key liaison between clinical teams, patients, and payers, you will ensure timely authorizations, accurate billing, and complete financial readiness throughout the patient's course of care, helping to facilitate seamless access to diagnostic and interventional radiology services. The ideal candidate will bring 1+ years of experience in a hospital or ambulatory care setting, with a background in hospital/physician office registration, financial counseling, and billing. This is a contract-to-hire position that will pay $20-21 per hour (depending on experience) within a 40-hour workweek. All qualified candidates MUST be located in MA, CT, RI, NH, ME, for a remote work model.
Job Responsibility
Accept and process radiology referrals and service requests, initiating a comprehensive benefits review and completing all necessary registration and financial clearance steps
Verify insurance eligibility and coverage for radiology services and imaging procedures, including diagnostic, interventional, and follow-up care
Obtain and secure prior authorizations and pre-certifications by submitting required clinical documentation to insurance carriers
Prepare and maintain accurate patient financial records, ensuring all demographic, insurance, and authorization information is current
Serve as a liaison between patients, radiology providers, scheduling teams, and insurance payers to facilitate timely access to services
Communicate patients' financial clearance status to clinical and scheduling teams to support efficient care delivery
Assist patients and providers in navigating insurance denials and appeals, including coordinating peer-to-peer reviews when necessary
Educate patients and families regarding insurance coverage, out-of-pocket expenses, financial policies, and available financial assistance programs
Prepare and present Financial Waivers and Advanced Beneficiary Notices (ABNs) for services with limited or no insurance coverage
Ensure compliance with radiology billing and reimbursement guidelines, including accurate documentation and billing plan updates
Review scheduled services and patient encounters to ensure appropriate billing and reimbursement for radiology-related procedures
Document all interactions, authorization details, payer correspondence, and financial updates within designated systems
Complete assigned work queues, departmental projects, and other responsibilities as needed
Requirements
Bachelor's degree in Health Science, Business, Healthcare Administration, or a related field preferred
1+ years of relevant experience in a healthcare setting (hospital, clinic, physician's office), including registration, billing, insurance verification, or financial counseling (internships included)
Proficiency in Microsoft Office
experience with Epic or other electronic medical record (EMR) systems is a plus
Experience with insurance verification, benefits analysis, prior authorizations, or financial clearance strongly preferred
Familiarity with ICD-10, CPT codes, medical terminology, and healthcare insurance regulations preferred
Understanding of managed care, prior authorization processes, and radiology billing and reimbursement practices preferred
Experience supporting diagnostic imaging, radiology, or procedural services is a plus
Excellent communication and customer service skills, with the ability to collaborate effectively across clinical and administrative teams
Strong analytical, organizational, and problem-solving skills, with keen attention to detail
Ability to prioritize competing responsibilities and meet deadlines in a fast-paced healthcare environment
Proven ability to build and maintain positive working relationships with patients, providers, and interdisciplinary teams
Nice to have
Experience with Epic or other electronic medical record (EMR) systems
Experience supporting diagnostic imaging, radiology, or procedural services