drjobs Senior Patient Access Intake Spec-Rehab

Senior Patient Access Intake Spec-Rehab

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1 Vacancy
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Job Location drjobs

Fall River - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overview

Community Focused. Care Driven.

Join Southcoast Health where your future is as promising as the care we provide. Our commitment to each other our patients and our community is more than a mission - its our way of life and youll be at the heart of it.

Southcoast Health is a not-for-profit charitable health system with multiple hospitals clinics and facilities throughout Southeastern Massachusetts and Rhode Island.

Nestled in local communities Southcoast Health provides inclusive ethical workplaces where our highly skilled caregivers offer world-class comprehensive healthcare close to home.

Find out for yourself why Southcoast Health has been voted Best Place to Work for 7 years in a row!

We are searching for a talented Senior Patient Access Intake Spec-Rehab

*$1500 new hire sign-on bonus for this position. (rehires termed more than 1 year also eligible)*

Hours:Per Diem

Shift: Day shift; 8:30am - 5:00pm; Monday-Friday

Location: Rehab Services Administration - Fall River MA

A career at Southcoast Health offers you:

  • A culture of well-being that embraces respects and celebrates the rich diversity of one another and the communities we serve
  • Competitive pay and comprehensive benefits package
  • Generous Earned Time Off Package**
  • Employee Wellbeing Program
  • 403B Retirement Plan with company match
  • Tuition assistance / Federal Loan Forgiveness programs
  • Professional growth opportunities and customized leadership training

**Available to regular status employees who are scheduled to work a minimum of 24 hours.

Southcoast Health is an Equal Opportunity Employer.

Responsibilities

Position reports to the Operations Team Leader of Rehab Services. Perform a wide variety of duties to secure optimal revenue for all services performed at Southcoast Health Rehab Services. Determine patient liability prior to service by creating an estimate based on individual payer notifies patient of their potential liability in accordance with the Federal and State regulations. Initiate contact with patients clinicians and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests. Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service. Navigate multiple payer portals to determine requirements for authorization and submit electronic requests. Follow up with payer denials by researching clinical data to support an appeal. Verify coverage and initiate authorizations for new evaluations and treatments

Qualifications

  • Equal to completion of four years of high school plus additional specialized courses or training secretarial school diploma or medical office certification.
  • Duties require comprehensive understanding of medical terminology and managed care plans and experience in obtaining and processing insurance referrals and authorizations.
  • Knowledge of Healthcare and Managed Care preferred.
  • Proficient keyboarding skills are essential.
  • Must possess strong reasoning and critical thinking skills.
  • Proficient in use of software applications such as e-mail Work Excel EHR.
  • Exceptional customer service skills are required.
  • Over three years of related medical office work experience is required.
  • Associates degree preferred.
  • Experience in obtaining and processing insurance referrals and authorizations.
  • Knowledge of Healthcare and Managed Care preferred.
  • Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

  • Compensation: Pay rate will be determined based on level of experience.

Pay Range

USD $17.05 - USD $28.28 /Hr.

Required Experience:

Senior IC

Employment Type

Unclear

Company Industry

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