Senior Patient Access & Rehab Intake Specialist

SouthCoast Health; Fall River (MA); In loco; USD 28.000 - 39.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive pay and comprehensive福利

Earned Time Off package

403B Retirement Plan with companymatch

Tuition assistance / Federal Loan Forg

Professional growth opportunities

Employee Wellbeing Program

Descrizione del lavoro

Southcoast Health in Fall River, MA, is seeking a Senior Patient Access Intake Spec-Rehab to join our Rehab Services team. This role supports patient intake, insurance pre-certifications, and authorizations to ensure efficient service and accurate billing.

You will collaborate with clinicians and payers, verify coverage, and help patients understand their financial responsibilities. A strong customer service mindset and medical office experience are essential.

Competenze

• 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, Word, Excel, EHR.
• Exceptional customer service skills are required.
• Over three years of related medical office work experience is required.
• Associates degree preferred.
• 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.
• Compensation: Pay rate will be determined based on level of experience.

Mansioni

• Determine patient liability prior to service by creating an estimate based on individual payer.
• Notify patient of their potential liability in accordance with 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.

Conoscenze

Customer service

Keyboarding

Reasoning / critical thinking

Medical office experience

Formazione

High school + certifications

Associates degree preferred

Strumenti

EHR

Microsoft Word

Microsoft Excel

Email

Descrizione del lavoro

Southcoast Health in Fall River, MA, is seeking a Senior Patient Access Intake Spec-Rehab to join our Rehab Services team. This role supports patient intake, insurance pre-certifications, and authorizations to ensure efficient service and accurate billing.

You will collaborate with clinicians and payers, verify coverage, and help patients understand their financial responsibilities. A strong customer service mindset and medical office experience are essential.