Int'l Financial Coordinator

Performs accurate adding, editing of demographic and payor information as necessary including effective dates and ensuring the coverage is accurate at the patient level as well as for each Hospital Account Record (HAR). Maintains patient account and payments. Works in conjunction with International Patient Center (IPC) on patient eligibility, verification and authorization of care for BCH international patients prior to and throughout their patient experience. Collaborate with International Patient Center on patient eligibility and verification for BCH international patients prior to and throughout their patient experience.Commercial Payer: IFC verifies insurance coverage and benefits; if not contracted with insurance, initiates Single Case Agreement; identifies and communicates out of pocket costs to family, IPC CC and Self-Pay colleagues for collection prior to services.Embassy Payor: IFC scans and documents LOGs in Epic and follows up for Embassy LOGs for past dates of service.Self-Pay Payor: IFC ensures estimate is provided to and articulates Self-Pay policy to family. Collaborate with International Patient Center on patient authorization of care for BCH international patients prior to and throughout their patient experience.Commercial Payor: IFC contacts insurance to obtain prior authorization, documents, authorizes in Epic, and notifies leadership, clinic, and IPC colleagues a minimum of 3 business days for at risk services to determine pay or cancel.Embassy Payor: IFC authorizes services in Epic for which we have a valid LOG (dates of service and services covered). IFC utilizes SharePoint to communicate with IPC the status of services without a valid LOG for a minimum of 5 business days in advance. IFC notifies leadership, clinic, and IPC colleagues a minimum of 3 business days in advance for at risk services to determine proceed, or postpone/cancel +/- pay.Self-Pay payor: IFC collects payments 21 days in advance of services when possible; notifies leadership, clinic, and IPC colleagues a minimum of 3 business days for non-payment to cancel. Accuracy develop cost estimate and or collect patient estimates within required timeframes in accordance with self-pay/embassy/payer regulations and requirements and in compliance with Mass Law Chapter 224. Monitors all patient accounts to ensure hospital and professional invoices, claims, detail bills, and medical records when appropriate are accurately submitted in a timely manner according to payor requirements. Actively tracks, monitors and follows up on payments to ensure collection (Self-Pay: meets with families to collect outstanding balances prior to departure/repatriation). Documents all follow-up, actions taken, and communication related to patient accounts in Epic clear and concise account notes in accordance with billing instructions, policies, procedures, and requirements. Ensures prompt resolution of outstanding accounts. Collaborates with peers and IPC to ensure all required information is obtained for resolution of estimate edits, invoice edits, services denials, and appeals in a timely manner, while adhering to government/payer regulation and department policy/procedures. Acts as a patient advocate. Acknowledges and addresses all inquiries from patients, payors, clinics, IPC, and other colleagues in a timely and professional manner. Triages inquiries and appropriately escalates issues when appropriate. Builds strong rapport with families, payors, clinics, IPC, and other colle