OBGYN Admin & Referral Coord - Surgical Scheduling

Boston Medical Center•Boston, MA

3d•Onsite

About The Position

The primary purpose of the job is to serve as a liaison for patients in all communications regarding care rendered in the department. Serves as a liaison with patients facilitating access to care, gathering information for registration, schedules appointments and surgeries, verify demographics and financial information. Obtains pre-authorization from insurance carriers. Responds to faxes and phone calls from patients, BMC departments and outside Facilities. Assists the Department to meet targets. Facilitates communication as follows: between patient and providers, nurse practitioners and medical assistants; Between patient's referring physician and BMC other departments, including assuring that correspondence is disseminated properly; Between providers and office support personnel.

Requirements

High School diploma required.
Thorough knowledge of managed care.
3 years of experience of financial clearance.
Working knowledge of managed care: overall understanding of HMO, PPO, and others.
Proficient knowledge of process of obtaining insurance approvals, referrals, billing, and co-payments.
Strong computer skills and knowledge of the PC applications.
Excellent English communication skills (verbal and written).
Excellent professional demeanor.
Ability to work effectively with all levels of staff and management.
Excellent interpersonal skills.
Ability to show empathy and be courteous and diplomatic with patients.
Must be able to work independently, take initiative and handle multiple tasks with conflicting priorities.
Team player with ability to work cross-organizationally to get issues resolved.
Ability to maintain confidentiality.

Nice To Haves

Additional professional certifications or completion of business school preferred.
3 years of referral scheduling experience preferred.
Experience handling patient flow is helpful.
Windows environment and Microsoft Office products preferred.
Knowledge of the Eclipsys SDK system, Caretracker and IDX or other comparable registration systems a plus.

Responsibilities

Serve as a liaison for patients in all communications regarding care rendered in the department.
Facilitate patient access to care, gather information for registration, and schedule appointments and surgeries.
Verify demographics and financial information.
Obtain pre-authorization from insurance carriers.
Respond to faxes and phone calls from patients, BMC departments, and outside Facilities.
Assist the Department to meet targets.
Facilitate communication between patient and providers, nurse practitioners, and medical assistants.
Facilitate communication between patient's referring physician and BMC other departments, ensuring proper dissemination of correspondence.
Facilitate communication between providers and office support personnel.