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Location: Winchester, MA
Job ID: 156954-1A
Date Posted: Oct 15, 2019
Winchester Hospital is a leading community hospital north of Boston. The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery. Since 1912, Winchester Hospital has been a trusted pillar of the community and is recognized for outstanding quality and high satisfaction scores. In 2003, we became the first community hospital in Massachusetts to achieve Magnet status - the industry’s gold standard for nursing excellence. We were re-accredited for the 4th time in 2018. Our mission To Care. To Heal. To Excel. In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
About the Job
Contributes to the Hospital’s mission by streamlining and monitoring the insurance referral process obtaining pre-authorizations prior to services being provided and educating stakeholders on the approval process. This administrative support staff position will serve as a liaison between Oncology and Patient Financial Services. This position will impact the reimbursement process by reducing denials thus improving Oncology services’ financial success, and improving physician satisfaction and patient satisfaction by identify and resolving insurance related issues.
Required: High School Diploma or equivalent.
Preferred: Associates Degree/Certification in Health Care Administration or Business.
Required: One (1) year medical practice/healthcare administrative support experience.
Two (2) years medical practice/healthcare administrative support experience, with six (6) months experience with insurance referrals/approvals.
Experience with CPT-4/ICD-9 coding and medical terminology.
Required: Competence in MS Office software.
Meditech or other electronic medical records systems.
Experience navigating and researching the internet, specifically insurance website content.
For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.
The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.
Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.