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Healthcare Access Coordinator
2 months ago
Overview:
Discover why Southcoast Health has consistently been recognized as an exceptional workplace.
At Southcoast Health, your future is as bright as the quality care we deliver.
Our dedication to each other, our patients, and our community transcends mere mission statements; it embodies our way of life, placing you at the core of it.
As a not-for-profit, charitable health system, Southcoast Health operates multiple hospitals, clinics, and facilities across Southeastern Massachusetts and Rhode Island.
Rooted in local communities, Southcoast Health fosters inclusive and ethical work environments where our highly skilled professionals provide world-class, comprehensive healthcare close to home.
*$1,500 new hire sign-on bonus for this position. (rehires termed more than 1 year also eligible)
Hours: 40hrs
Shift:
Day Shift, 8:00am - 4:30pm
Location:
Southcoast Business Center
A career at Southcoast Health offers you:
A culture of well-being that embraces, respects, and celebrates the rich diversity of our team and the communities we serve.
Competitive compensation and a comprehensive benefits package.
Generous Earned Time Off Package.
Employee Wellbeing Program.
403B Retirement Plan with company match.
Tuition assistance and Federal Loan Forgiveness programs.
Opportunities for professional growth and tailored leadership training.
Available to regular status employees who are scheduled to work a minimum of 20 hours.
Southcoast Health is an Equal Opportunity Employer.
Responsibilities:
Under the general supervision of the Manager, Team Leader, Patient Service Center, or designee, perform a variety of tasks to facilitate patient access to physician practice services throughout Southcoast Physicians Group and Network.
These tasks may include transcribing orders, canceling appointments, accurately documenting in the referral record, and managing electronic fax communications via Release of Information (ROI).
Ensure that all services requiring a referral are processed with the appropriate supporting clinical documentation according to departmental standards, ensuring optimal reimbursement for the organization.
Utilize payer portals to efficiently and accurately submit insurance referrals to prevent delays in patient care.Act as a liaison between physician offices, insurance carriers, and other clinical services both within and outside the system to ensure coordinated patient care while maintaining patient satisfaction.
Discuss estimates for scheduled services as needed based on identified plans. Employ critical thinking skills to ensure appropriate CPT/ICD-9 codes are documented for accurate service and payment.Qualifications:
An Associate's Degree in a related field or an equivalent combination of education and experience is required; a Bachelor's Degree is preferred.
A Certificate in Medical Terminology is preferred.
CHAM (Certified Healthcare Access Manager) or CHAA (Certified Healthcare Access Associate) certification is preferred.
Previous experience in a call center or customer service role is preferred.
Strong computer skills and proficiency with Microsoft Office, including Word and Excel, are preferred.
Excellent organizational skills are required.
Over three (3) years of related healthcare experience, including working with third-party payers, is preferred.
A Medical Terminology Certificate is preferred.
Must be fully vaccinated against seasonal Influenza and the COVID-19 virus or provide an exemption for medical or personal reasons by signing a statement certifying the choice to be exempt from vaccination upon hiring.
Pay Range:
USD $27.50 /Hr.
