Addiction Recovery Program Insurance Coordinator/Resource Specialist

Partner's Healthcare; Boston (MA); Sur place; USD 35 000 - 50 000; Plein temps

Résumé du poste

Brigham and Women's Faulkner Hospital is seeking an Addiction Recovery Program Insurance Coordinator & Resource Specialist to support admissions, insurance authorizations, and care transitions for patients in the ASAM Level 4 ATS unit and ED. You will work with an MD, social workers, and a recovery coach to streamline intake, resource placement, and discharge planning.

You will educate patients about resources, coordinate with internal programs and external partners, and ensure accurate

Qualifications

• Associate degree required; bachelor’s degree preferred.
• Two to three years of mental health care experience, especially in substance use disorders.
• Strong communication, collaboration, advocacy, organization and time-management skills.
• Ability to work independently, multitask, and adapt in a fast-paced environment.

Responsabilités

• Manage the ATS phone line and respond to admission inquiries.
• Coordinate with the emergency department for ATS admissions and verify insurance coverage.
• Complete substance use intakes and present cases for clinical review.
• Obtain prior authorizations for stays and coordinate admissions/transfers.
• Document all care-coordination communications in the EMR.
• Collaborate with clinicians, payors, facilities and community resources for discharge planning and aftercare.

Connaissances

Communicate effectively

Team collaboration

Customer service

Advocacy

Organization

Time management

Problem solving

Adaptability

Formation

Associate degree

Bachelor’s degree preferred

Outils

EMR systems

Computer skills

Description du poste

Site

Brigham and Women's Physicians Organization, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Addiction Recovery Program Insurance Coordinator & Resource SpecialistHelp patients access compassionate, coordinated substance use disorder care at Brigham and Women's Faulkner Hospital. Make an ImpactJoin our interdisciplinary addiction medicine team and help patients navigate admission, insurance authorization, treatment resources, and next-step care. You will support patients across the ASAM Level 4 ATS unit, emergency department, and medical and surgical services while keeping daily operations and care transitions moving smoothly.The Addiction Recovery Program Insurance Coordinator and Resource Specialist supports the addiction medicine team at Brigham and Women's Faulkner Hospital, serving patients on the ASAM Level 4 ATS/"detox" unit, in the emergency department, and on medical and surgical services. Working with an MD, social workers, and a recovery coach, this role manages daily unit operations, admission requests, patient intakes, case presentations, and insurance authorizations. The role also assists with resources and aftercare planning, including community detox placement and partial hospital or intensive outpatient programs.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Manage the ATS phone line by answering patient calls during work hours and returning voicemails about direct admission.
• Coordinate with the emergency department for patients interested in ATS admission.
• Verify ATS insurance coverage and submit authorization after clinical acceptance.
• Complete a standardized substance use intake and present the patient to the attending physician for an admission decision.
• Coordinate with the patient, admitting staff, and nursing staff to schedule direct admission.
• Complete prior authorizations for medically necessary stay extensions.
• Attend the interdisciplinary team meeting Monday-Friday at 1 p.m. to review care and disposition plans.
• Partner with ATS and addiction consult clinicians to transition patients to further treatment, following clinical leadership and coordinating care and resource use.
• Refer patients to appropriate levels of care by providing required clinical documentation, coordinating facility transfers and intake appointments, arranging outpatient follow-up, and helping patients obtain a PCP when needed.
• Build effective relationships with internal programs, outside agencies, facilities, payors, and community resources to support patient and family disposition plans.
• Perform other duties as directed to support patient care.
• Educate patients about available resources and SUD services, clarify care goals, and help reduce barriers to achieving them.
• Provide flexible support as patient goals or plans change.
• Collaborate with ATS clinicians to identify needed supports and connect patients with services.
• Explain financial services and self-pay resources as needed.
• Follow federal and state requirements and obtain appropriate releases before sharing patient information.
• Provide practice staff coverage as needed.
• Perform related tasks that improve patient flow or quality of care.
• Document all in-person and phone care-coordination communications in the MGB electronic medical record.

What You’ll Do

Manage admission inquiries, complete substance use intakes, and present cases for clinical review. Verify insurance coverage and complete initial and continued-stay authorizations. Coordinate admissions, transfers, aftercare, outpatient follow-up, and access to community resources. Educate and advocate for patients while collaborating with clinicians, payors, facilities, and community partners. Document care coordination in the electronic medical record and support patient flow and practice operations.

What You’ll Bring

• Associate degree required; bachelor's degree preferred.
• Two to three years of mental health care experience preferred, especially in substance use disorders.
• Strong communication, collaboration, customer service, advocacy, organization, and time-management skills.
• Sound judgment and the ability to work independently, multitask, solve problems, and adapt in a fast-paced environment.
• Strong computer skills and familiarity with addiction treatment, systems of care, and community resources.

Additional Job Details (if applicable)

• Schedule & LocationMonday-Friday, 11 a.m.-7 p.m.100% onsite at Brigham and Women's Faulkner Hospital
• Remote Type Onsite
• Work Location 1153 Centre Street
• Scheduled Weekly Hours 40
• Employee Type Regular
• Work Shift Day (United States of America)
• Pay Range $25.50 - $36.49/Hourly
• Grade 5

EEO Statement

2410 Brigham and Women's Physicians Organization, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected under Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.