Financial Counselor- Hybrid

Boston Children’s Hospital; Boston, Northern (MA, KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Hybrid work schedule

Job summary

Boston Children's Hospital in Boston seeks a Financial Counselor to guide families through costs, insurance coverage, and financial assistance, ensuring accurate billing information and smooth pre-service clearance.

The role collaborates with clinical teams, payers, and internal partners to resolve questions, assist with public health insurance applications, and support charitable care programs. Hybrid schedule with on-site and remote work options.

Qualifications

• High School Diploma or GED required.
• Associate Degree preferred.
• 6 months of experience minimum, preferably in healthcare.
• Experience in hospital operations, patient financial services, insurance verification, medical billing or third-party billing preferred.
• Strong customer service and communication skills with patients and families.
• Empathy and professionalism in sensitive financial conversations.

Responsibilities

• Provide cost estimates for services and support pre-service financial clearance.
• Assist families with understanding insurance benefits and financial responsibilities.
• Interview families to support enrollment in public health insurance programs (MassHealth, Medicaid, Medicare).
• Resolve questions related to insurance eligibility, benefits, billing, and coverage through multiple channels.
• Verify insurance eligibility and benefits via payer sites and direct insurer communication.
• Collaborate with clinical departments, case managers, insurance teams and internal partners to keep records accurate.
• Complete patient registration updates, insurance changes, estimates and payment collection as needed.
• Support charity care, Health Safety Net (HSN) and self-pay processes.
• Research and resolve complex financial inquiries maintaining confidentiality and empathy.
• Identify and elevate family financial navigation concerns to leadership when escalation is needed.

Job description

osition Summary

The Financial Counselor plays an essential role in supporting patient families and hospital financial operations by providing timely financial guidance, cost estimates, and assistance navigating insurance coverage and financial assistance programs. This role supports pre-service financial clearance by helping families understand their financial responsibilities, assisting with public health insurance applications, resolving insurance-related questions, and ensuring accurate patient billing information. The Financial Counselor partners with families, insurance companies, and internal hospital teams to provide compassionate, accurate, and timely support throughout the patient care journey.

Key Responsibilities

• Provide cost estimates for future services and support pre-service financial clearance activities, including complex inpatient cases.
• Assist patient families with understanding insurance benefits, financial responsibilities, and available financial assistance programs.
• Interview families to support enrollment in public health insurance programs, including MassHealth, Medicaid, and Medicare.
• Resolve patient inquiries related to insurance eligibility, benefits, billing concerns, and coverage issues through phone, in-person meetings, and written communication.
• Verify insurance eligibility and benefits through payer websites, available technology platforms, and direct communication with insurance companies.
• Collaborate with clinical departments, case managers, insurance teams, and internal partners to ensure accurate patient records and billing processes.
• Complete patient registration updates, insurance changes, estimates, and payment collection activities as needed.
• Support charity care, Health Safety Net (HSN), and self-pay assistance processes.
• Research and resolve complex financial inquiries while maintaining confidentiality, professionalism, and empathy.
• Identify and elevate family financial navigation concerns to leadership when additional support is needed.

Minimum Qualifications

Education:

• High School Diploma or GED required.
• Associate Degree preferred.

Experience:

• Minimum of 6 months of experience required, preferably in a healthcare setting.
• Experience in hospital operations, patient financial services, insurance verification, medical billing, or third-party insurance billing preferred.
• Strong customer service skills with the ability to communicate effectively with patients, families, and internal teams.
• Ability to manage sensitive financial conversations with empathy and professionalism.
• Strong organizational skills, attention to detail, and ability to prioritize tasks in a fast-paced environment.
• Bilingual skills are a plus.

Schedule:

• Hybrid. 8-4:30 M-F. WFH 3 days/week