Heart Transplant Care Coordinator

Beth Israel Lahey Health; United States; On-site; USD 30,000 - 41,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Heart Transplant Practice Specialist to support a multidisciplinary team in the Advanced Heart Failure Program. You will manage patient scheduling, triage clinical management, and act as the main contact for patients with a focus on accurate registrations and insurance updates.

You will collaborate with nurses, physicians, pharmacists, and nurse practitioners to ensure safe delivery of patient care across evaluation, pre-operative, and post-transplant

Qualifications

• High School diploma or GED required.
• Associate's degree preferred.
• 1-3 years related work experience required.
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Responsibilities

• Obtains referrals required for patient prior to scheduled visits; maintains 100% compliance with referral management requirements and current knowledge base of referral and authorization rules and related policies for multiple insurance and managed care payers including transplant specific policies; maintains record of referral, level of care and number of visits being authorized.
• Assists patients with full registration, updates insurance information at each visit to ensure collection of accurate information for billing and accurate capture of pre-transplant services; collaborates with Financial Coordinator to verify that mandatory policies are followed; notifies Financial Coordinator of insurance changes identified at check-in.
• Performs check-in, and coordinates and schedules multiple new and follow-up appointments in person, via e-mail and over the phone to support a multidisciplinary team including surgeons, hepatologists, nephrologists, infectious diseases, social workers and nutritionist.
• Confirms correct insurance type, type of visit and demographic information.
• Collaborates with Transplant Nurse Care Coordinators to maintain up-to-date patient information in the Organ Transplant and Tracking Record database and records time per instructions on monthly Medicare time study.
• Answers, screens and processes a high volume of calls in a professional manner; utilizes and adheres to the phone scripts and guidelines for triaging calls; asks appropriate questions and uses independent judgment within scope of knowledge and authority to determine the type of appointment, appropriate provider and urgency needed; records and forwards accurate messages to providers and staff.

Skills

Customer service

Phone triage

Scheduling

Written communication

Oral communication

Education

High School diploma

Associate's degree preferred

Tools

Microsoft Office

Job description

Beth Israel Lahey Health is seeking a Heart Transplant Practice Specialist to support a multidisciplinary team in the Advanced Heart Failure Program. You will manage patient scheduling, triage clinical management, and act as the main contact for patients with a focus on accurate registrations and insurance updates.

You will collaborate with nurses, physicians, pharmacists, and nurse practitioners to ensure safe delivery of patient care across evaluation, pre-operative, and post-transplant