Patient Access Intake Specialist Sr-Rehab

Southcoast Health System, Inc. • Fall River, MA

111d • $17 - $28

About The Position

Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it’s our way of life, and you’ll be at the heart of it. Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island. Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. Find out for yourself why Southcoast Health has been voted ‘Best Place to Work’ for 7 years in a row! We are searching for a talented Patient Access Intake Specialist Sr-Rehab.

Requirements

• Equal to completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
• Comprehensive understanding of medical terminology and managed care plans.
• Experience in obtaining and processing insurance referrals and authorizations.
• Proficient keyboarding skills.
• Strong reasoning and critical thinking skills.
• Proficient in use of software applications such as e-mail, Word, Excel, EHR.
• Exceptional customer service skills.
• Over three years of related medical office work experience.

Nice To Haves

• Associates degree preferred.
• Knowledge of Healthcare and Managed Care preferred.

Responsibilities

• Perform a wide variety of duties to secure optimal revenue for all services performed at Southcoast Health Rehab Services.
• Determine patient liability prior to service by creating an estimate based on individual payer, notifying patient of their potential liability in accordance with the Federal and State regulations.
• Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests.
• Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service.
• Navigate multiple payer portals to determine requirements for authorization and submit electronic requests.
• Follow up with payer denials by researching clinical data to support an appeal.
• Verify coverage and initiate authorizations for new evaluations and treatments.

Benefits

• Competitive pay and comprehensive benefits package.
• Generous Earned Time Off Package.
• Employee Wellbeing Program.
• 403B Retirement Plan with company match.
• Tuition assistance / Federal Loan Forgiveness programs.
• Professional growth opportunities and customized leadership training.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees