Addiction Recovery Program Insurance Coordinator/Resource Specialist

Mass General Brigham•Boston, MA

8d•$26 - $36•Onsite

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Addiction Recovery Program Insurance Coordinator & Resource Specialist Help patients access compassionate, coordinated substance use disorder care at Brigham and Women’s Faulkner Hospital. Make an Impact Join our interdisciplinary addiction medicine team and help patients navigate admission, insurance authorization, treatment resources, and next-step care. You will support patients across the ASAM Level 4 ATS unit, emergency department, and medical and surgical services while keeping daily operations and care transitions moving smoothly. The Addiction Recovery Program Insurance Coordinator and Resource Specialist supports the addiction medicine team at Brigham and Women’s Faulkner Hospital, serving patients on the ASAM Level 4 ATS/“detox” unit, in the emergency department, and on medical and surgical services. Working with an MD, social workers, and a recovery coach, this role manages daily unit operations, admission requests, patient intakes, case presentations, and insurance authorizations. The role also assists with resources and aftercare planning, including community detox placement and partial hospital or intensive outpatient programs.

Requirements

Associate degree required
Two to three years of mental health care experience preferred, especially in substance use disorders.
Strong communication, collaboration, customer service, advocacy, organization, and time-management skills.
Sound judgment and the ability to work independently, multitask, solve problems, and adapt in a fast-paced environment.
Strong computer skills and familiarity with addiction treatment, systems of care, and community resources.

Nice To Haves

bachelor’s degree preferred

Responsibilities

Manage the ATS phone line by answering patient calls during work hours and returning voicemails about direct admission.
Coordinate with the emergency department for patients interested in ATS admission.
Verify ATS insurance coverage and submit authorization after clinical acceptance.
Complete a standardized substance use intake and present the patient to the attending physician for an admission decision.
Coordinate with the patient, admitting staff, and nursing staff to schedule direct admission.
Complete prior authorizations for medically necessary stay extensions.
Attend the interdisciplinary team meeting Monday–Friday at 1 p.m. to review care and disposition plans.
Partner with ATS and addiction consult clinicians to transition patients to further treatment, following clinical leadership and coordinating care and resource use.
Refer patients to appropriate levels of care by providing required clinical documentation, coordinating facility transfers and intake appointments, arranging outpatient follow-up, and helping patients obtain a PCP when needed.
Build effective relationships with internal programs, outside agencies, facilities, payors, and community resources to support patient and family disposition plans.
Perform other duties as directed to support patient care.
Educate patients about available resources and SUD services, clarify care goals, and help reduce barriers to achieving them.
Provide flexible support as patient goals or plans change.
Collaborate with ATS clinicians to identify needed supports and connect patients with services.
Explain financial services and self-pay resources as needed.
Follow federal and state requirements and obtain appropriate releases before sharing patient information.
Provide practice staff coverage as needed.
Perform related tasks that improve patient flow or quality of care.
Document all in-person and phone care-coordination communications in the MGB electronic medical record.
Manage admission inquiries, complete substance use intakes, and present cases for clinical review.
Verify insurance coverage and complete initial and continued-stay authorizations.
Coordinate admissions, transfers, aftercare, outpatient follow-up, and access to community resources.
Educate and advocate for patients while collaborating with clinicians, payors, facilities, and community partners.
Document care coordination in the electronic medical record and support patient flow and practice operations.