Transplant Practice Specialist

BILH Performance Network; Boston, Northern (MA, KY); Hybrid; USD 30,000 - 41,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Transplant Practice Specialist in Boston to support the multidisciplinary clinical team by managing patient appointments, obtaining insurance approvals, and handling the main phone line.

The role involves coordination with surgeons, hepatologists, nephrologists, infectious diseases, social workers and nutritionists, requiring excellent customer service and clear communication.

Qualifications

• High School diploma or GED required.
• Associate's degree preferred.
• 1-3 years related work experience required.
• Experience with computer systems including MS Office.

Responsibilities

• Obtains referrals required for patient prior to scheduled visits and ensures compliance with referral and authorization rules.
• Assists patients with full registration and updates insurance information for billing and pre-transplant services.
• Coordinates and schedules multiple new and follow-up appointments for a multidisciplinary team.
• Maintains up-to-date patient information and supports Medicare time study per instructions.
• Answers and triages a high volume of calls with professional communication and accurate messaging.

Skills

Customer service

Phone etiquette

Communication

Education

High School diploma or GED

Associate's degree

Tools

Microsoft Office

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Summary

The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing the patient appointment schedule, obtaining insurance approval for appointments, and answering the main phone line. Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication.

The Transplant Institute provides care to patients along several service lines corresponding to liver, kidney or pancreas transplant, dialysis access or hepatobiliary surgery. The environment is uniquely complex due to the mixture of multiple medical specialties that comprise the Transplant Institute Team. Each service line within the Institute requires adherence to specialized requirements for patient appointments, insurance standards, and referral authorizations.

Job Description

Essential 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.

Required 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.

Preferred Qualifications

• Experience in healthcare strongly preferred.

Competencies

• Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
• Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
• Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
• Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
• Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
• Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
• Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.

Pay Range

$22.05 - $29.68

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled