Care New England Health System-posted 3 months ago
Part-time
Providence, RI
5,001-10,000 employees
Hospitals

The Clinical Access Specialist is responsible for recording complete and accurate clinical information for all patients using the electronic risk assessment/triage. This role involves determining the type of treatment a patient is seeking, whether it be Inpatient, Partial Hospital, or Outpatient, and proceeding accordingly. The specialist follows appropriate procedures based on anticipated disposition and obtains complete insurance information, including the insurance company name, applicable phone numbers, employee name, date of birth, employer, and subscriber ID number. They verify insurance through online resources and provide this information to Patient Access Services for verification. Additionally, the specialist collects demographic information to initiate the registration process and provides patient information to Patient Assessment Services and the Bed Board Facilitator regarding possible admissions, documenting any anticipated insurance impact in Teletracking. The role also includes scheduling patients in CERNER for Partial Hospital Programs based on admission criteria and availability, collaborating with various departments to efficiently schedule patients, facilitating inpatient admissions, and providing referral information to patients and providers. The specialist works with various computer programs and office equipment, maintains required competencies through training, and participates in supervision and communication with department administrators.

  • Record complete and accurate clinical information for all patients using electronic risk assessment/triage.
  • Determine the type of treatment sought by the patient and proceed accordingly.
  • Follow appropriate procedures based on anticipated disposition.
  • Obtain complete insurance information and verify insurance through online resources.
  • Provide insurance information to Patient Access Services for verification.
  • Collect demographic information to initiate the registration process.
  • Provide patient information to Patient Assessment Services and Bed Board Facilitator regarding possible admissions.
  • Schedule patients in CERNER for Partial Hospital Programs based on admission criteria and availability.
  • Collaborate with various departments to efficiently schedule patients.
  • Facilitate inpatient admissions and patient evaluations.
  • Provide referral information to patients and providers.
  • Utilize various computer programs and office equipment.
  • Maintain required competencies through training and participate in supervision.
  • Minimum of an Associates Degree in Behavioral Health or related field.
  • A minimum of 3 years experience in customer service with a concentration in behavioral health and substance abuse treatments.
  • Knowledge of insurance verification and ability to work with various computer programs.
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