Specialty Clinics Admin Pro: Scheduling & Authorizations

Beth Israel Lahey Health; Needham (MA); On-site; USD 28,000 - 37,000; Full time

Job summary

Beth Israel Lahey Health in Needham, MA seeks an administrative professional to support outpatient specialty clinics, verify insurance eligibility and benefits, and coordinate referrals and authorizations.

The role documents in EMR, provides admin support to physicians, answers calls, schedules surgeries, and ensures patient confidentiality with professional conduct.

Requires knowledge of CPT and ICD-10 codes, strong computer skills including MS Office, and a focus on customer service.

Qualifications

• High School diploma or GED required.
• 0-1 years related work experience required.
• Ability to work independently with minimal supervision.
• Exhibits excellent customer service.
• Experience with computer systems including MS Office applications (Outlook, Word, Excel, PowerPoint or Access).
• Preferred: 3-5 years in a hospital financial or clinical setting.

Responsibilities

• Secures all required prior authorizations and documents in OMR.
• Makes follow up calls to prior authorization agents as needed to ensure timely turnaround of prior authorization documentation.
• Completes forms including disability, back to work and FMLA for patients.
• Interviews patients or their representative, obtaining personal information or verifying information already on file, including emergency numbers, next of kin, employer and insurance information.
• Secures all referrals for outpatient clinic visits and documents in OMR, may include medical clearance, physical therapy, etc.
• Prepare all medical records, as requested from attorneys and set up all peer to peer reviews for Physicians, as needed.
• Secures approval for surgery and ensures medical clearance prior to surgery.
• Schedules patient surgeries, including worker's compensation surgeries, coordinating and communicating with other hospital staff as needed.

Skills

Customer service

Independent work

Microsoft Office

EMR documentation

Telephone support

Education

High School diploma or GED

3–5 years hospital financial/clinical setting

Tools

Outlook

Word

Excel

PowerPoint

Access

EMR systems

Job description

Beth Israel Lahey Health in Needham, MA seeks an administrative professional to support outpatient specialty clinics, verify insurance eligibility and benefits, and coordinate referrals and authorizations.

The role documents in EMR, provides admin support to physicians, answers calls, schedules surgeries, and ensures patient confidentiality with professional conduct.

Requires knowledge of CPT and ICD-10 codes, strong computer skills including MS Office, and a focus on customer service.