Senior Patient Access Coordinator
4 weeks ago
We are seeking a highly skilled Sr. Patient Access Intake Specialist to join our team at Southcoast Health System. As a key member of our operations team, you will play a critical role in securing optimal revenue for our services and ensuring seamless patient care.
Key Responsibilities- 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.
- 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.
- 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.
- 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.
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Patient Access Coordinator
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Fall River, Massachusetts, United States Southcoast Health System Full timeOverviewSouthcoast Health System is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. We are committed to providing inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.Job SummaryWe are...
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