Clinical Access Specialist PT Weekend Nights

carenewengland; Providence (RI); On-site; USD 45,000 - 60,000; Full time

Job summary

Care New England Health System is seeking a Clinical Access Specialist to record complete clinical information for patients and determine the appropriate disposition based on caller details. You will verify insurance, gather demographics, and coordinate admissions with PAS, Inpatient Units, and program managers, using CERNER, AVATAR, Teletracking, Word and Outlook.

This role requires an Associates degree in Behavioral Health and at least three years of customer service experience in behavioral

Qualifications

• Associates Degree in Behavioral Health or related field required.
• Minimum of 3 years experience in customer service with a focus on behavioral health and substance abuse treatments.
• Knowledge of insurance verification and ability to work with multiple computer systems.

Responsibilities

• Record complete and accurate clinical information for patients.
• Determine placement: Inpatient, Partial Hospital, or Outpatient.
• Verify insurance information and complete registration steps.
• Schedule patients in CERNER for programs based on criteria.
• Collaborate with PAS, Inpatient Units, Social Work, and Program Managers.
• Maintain competency via hospital training and Net Learning.
• Provide referral information to patients and providers.
• Utilize AVATAR, Microsoft Word/Outlook, Teletracking in daily duties.

Skills

Customer service

Behavioral health

Insurance verification

Medical terminology

Education

Associates Degree in Behavioral Health or related field

Tools

CERNER

TeleTracking

Avatar

Microsoft Word

Microsoft Outlook

Phone system

Job description

Clinical Access Specialist Job Summary:

Records complete and accurate clinical information for all patients using the electronic risk assessment/triage

Determines, based on information provided by caller, if patient is seeking Inpatient, Partial Hospital or Outpatient treatment and proceeds accordingly.

Follows appropriate procedures depending on anticipated disposition.

Obtains complete insurance information, including insurance company name; any applicable phone numbers employee name, DOB, and employer; and subscriber ID number.

Verifies insurance through online resources.

Provides insurance information to Patient Access Services to complete verification

Obtains all available demographic information to initiate registration process.

Provide patient information to Patient Assessment Services and Bed Board Facilitator regarding possible admissions including any anticipated insurance impact by documenting such in Teletracking

Schedules patients in CERNER for Partial Hospital Programs based on admission criteria, availability and information collected at time of call

Collaborates with PAS, Inpatient Units, Social Work and Program Managers to efficiently schedule patients with earliest start dat

Facilitates Butler Hospital Inpatient Admission Bed Board and patient evaluations

Provides referral information to patient and providers meeting the insurance, treatment, and location needs of each patient.

Works with desktop computer utilizing a variety of programs: AVATAR, Microsoft Word, Microsoft Outlook, Teletracking, CERNER

Works with phone system

Works with a variety of office equipment: PC, Copier, Fax, Cordless headset, Language Line

Maintains required competencies through participation in hospital and department training and Net Learning

Participates responsibly in supervision and communicates concerns appropriately to department administrators in a constructive and timely manner.

Qualifications: Minimum of an Associates Degree in Behavioral Health or related field required.

A minimum of 3 years experience in customer service with concentration in behavioral health and substance abuse treatments.

Have knowledge of insurance verification and be able to work within several different computer programming.

Schedule: 16/32 Every Friday.Saturday Night 11p-7:30a

Care New England Health System (CNE) and its member institutions: Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.