Administrative Associate - Breast Clinic

Beth Israel Lahey Health•Needham, AL

19h•Onsite

About The Position

Under the direction of the Director, Outpatient Clinics provides administrative support to the outpatient specialty clinics. Verifies insurance eligibility, benefits, referral and authorization requirements for the Clinics. Ensures all exams requiring a Prior Authorization and/or Referral are coordinated through the appropriate insurance provider or intermediary, and documents in electronic medical record. Requires knowledge of CPT codes and ICD-10 codes. Provides administrative support for physicians by answering and screening telephone calls, and taking accurate messages. Schedules patient surgeries, coordinating and communicating with other hospital staff as needed. Types correspondence, manuscripts and documents that may require complex formatting. Checks in patients in CCC as needed. Schedules office appointments and imaging exams as necessary. Manages physician billing as needed. Provides support to Department Chief or higher level surgeon or physician. The highest regard for patient confidentiality is an expectation at all times. Acts in a professional manner and puts patient needs first. Essential 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. Responsible for interviewing 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. Inputs Physician billing charges into Meditech system on a daily basis. Maintains Physician Administrative calendar and clinical calendars. Types correspondence, manuscripts and documents that may require complex formatting. Composes routine correspondence. May include documents and manuscripts that support Physician's academic responsibilities, as well as, clinic needs. Performs check-in, registration, and verification of demographic and fiscal information. Collects copayments from patients at point of service.

Requirements

High School diploma or GED required.
Equivalent related experience and education combined may be substituted for H.S. Diploma/GED.
3-5 years related work experience required in in a hospital financial setting, or clinical setting required.
Ability to work independently with minimal supervision.
Must possess a strong focus on teamwork, strong organizational skills, and the ability to multi-task to meet defined timelines.
Ability to read and communicate effectively in English.
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Nice To Haves

Understanding of hospital collections preferred.

Responsibilities

Provides administrative support to the outpatient specialty clinics.
Verifies insurance eligibility, benefits, referral and authorization requirements for the Clinics.
Ensures all exams requiring a Prior Authorization and/or Referral are coordinated through the appropriate insurance provider or intermediary, and documents in electronic medical record.
Provides administrative support for physicians by answering and screening telephone calls, and taking accurate messages.
Schedules patient surgeries, coordinating and communicating with other hospital staff as needed.
Types correspondence, manuscripts and documents that may require complex formatting.
Checks in patients in CCC as needed.
Schedules office appointments and imaging exams as necessary.
Manages physician billing as needed.
Provides support to Department Chief or higher level surgeon or physician.
Acts in a professional manner and puts patient needs first.
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.
Responsible for interviewing 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.
Inputs Physician billing charges into Meditech system on a daily basis.
Maintains Physician Administrative calendar and clinical calendars.
Composes routine correspondence.
May include documents and manuscripts that support Physician's academic responsibilities, as well as, clinic needs.
Performs check-in, registration, and verification of demographic and fiscal information.
Collects copayments from patients at point of service.