Payor Relationships and Reporting Develop and maintain relationship with payor contacts. Acquire an understanding of the contract terms between Mass General Brigham (MGB) payors recognize the impact of the contract terms to the provider's enrollment or set up (i.e., physician growth caps, primary vs. additional affiliation, group level payment, etc.) Produce & disseminate

Obtains insurance authorizations for all elective and emergency admissions and procedures by providing necessary information as required by third party payers including Admit Worksheet, clinical, PCP referral etc. in an appropriate time frame. Understands notification requirements for date changes and status changes. Requires a complete understanding of coordination of be

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

1. Secures payments before the patient arrives, or leaves the patient care area. Prepares form letters to patients for cost share information and collection. 2. Must be able to assist patient in filling out state applications, or other assistance applications for available programs that may assist patients in meeting their financial obligations, such as Uninsured Relief,

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

/ OVERVIEW STATEMENT 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 c

Reporting to the Director of Patient Access, the Transplant Financial Coordinator will be responsible for providing financial services for heart transplant, kidney transplant, bone marrow transplant, and VAD patients. The position will be the patients Tufts MC point of contact for all medical insurance and authorization concerns. The position is responsible for obtaining