Coord Access Referral & Auth

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Location: Beverly, MA
Job ID: 171185-1A
Date Posted: Nov 16, 2021
Category: Support

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Job Description

Welcome To

Welcome to Beverly Hospital, part of Beth Israel Lahey Health. Beverly Hospital is a full service, community hospital providing leading-edge, patient-centered care to North Shore and Cape Ann residents. The hospital provides a full-range of state-of-the-art care and services including primary care, cardiovascular care, surgery, orthopedics, emergency care, maternity, pediatrics, as well as many other specialties. Beverly Hospital is nationally recognized for patient safety as it is one of only 42 hospitals in the United States to be awarded an “A” grade from The Leapfrog Group – the nation’s leading nonprofit watchdog on hospital quality and safety.

 

Beverly Hospital promotes the culture and philosophy which enables employees to give and receive the best of care. You can become a part of the team that achieves this success through our CREATE values of Community, Respect, Excellence, Accountability, Teamwork and Empathy.

 

About the Job

Position Summary: 

 

Under the direction of the Director and/or Manager of

Patient Access Services Call Center performs the function of obtaining referrals,

and/or authorizations prior to the service date for test, procedures and admissions

into the hospitals. Maintains awareness of different sources available to inquire

or request referrals and/or authorizations including verification of insurance

eligibility and benefits. Participate in training new staff. Document accounts

with referral and authorization information, co-payment and/or deductible

information, and notification of a patient having to sign an Advance Beneficiary

Notice or Non-Covered Service Waiver Form. Notifying the proper individuals

of patients that do not have a prior referral and/or authorization for the test, exam,

procedure, or admission into the hospital. Accepts other duties, as assigned.

Scheduled Hours

34 hours per week, day shift.

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.

Qualifications

 

Education/Experience:         1. High school graduate required. Advanced education       

                                                     preferred.

                                                2. 5 years experience in a health care setting, preferably in

                                                     registration, referrals and authorizations.

                                                3. Typing speed 50 WPM, CRT experience, medical

                                                     terminology.

                                                 4. Third party payor knowledge and insurance background

                                                      required.