Transplant Practice Specialist

Beth Israel Lahey Health•Boston, MA

8d•$22 - $30•Onsite

About The Position

The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing the patient appointment schedule, obtaining insurance approval for appointments, and answering the main phone line. Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication. The Transplant Institute provides care to patients along several service lines corresponding to liver, kidney or pancreas transplant, dialysis access or hepatobiliary surgery. The environment is uniquely complex due to the mixture of multiple medical specialties that comprise the Transplant Institute Team. Each service line within the Institute requires adherence to specialized requirements for patient appointments, insurance standards, and referral authorizations.

Requirements

High School diploma or GED required.
1-3 years related work experience required.
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

Associate's degree preferred.
Experience in healthcare strongly preferred.

Responsibilities

Obtains referrals required for patient prior to scheduled visits; maintains 100% compliance with referral management requirements and current knowledge base of referral and authorization rules and related policies for multiple insurance and managed care payers including transplant specific policies; maintains record of referral, level of care and number of visits being authorized.
Assists patients with full registration, updates insurance information at each visit to ensure collection of accurate information for billing and accurate capture of pre-transplant services; collaborates with Financial Coordinator to verify that mandatory policies are followed; notifies Financial Coordinator of insurance changes identified at check-in.
Performs check in, and coordinates and schedules multiple new and follow-up appointments in person, via e-mail and over the phone to support a multidisciplinary team including surgeons, hepatologists, nephrologists, infectious diseases, social workers and nutritionist. Confirms correct insurance type, type of visit and demographic information.
Collaborates with Transplant Nurse Care Coordinators to maintain up-to-date patient information in the Organ Transplant and Tracking Record database and records time per instructions on monthly Medicare time study.
Answers, screens and processes a high volume of calls in a professional manner; utilizes and adheres to the phone scripts and guidelines for triaging calls; asks appropriate questions and uses independent judgment within scope of knowledge and authority to determine the type of appointment, appropriate provider and urgency needed. Records and forwards accurate messages to providers and staff.