bmc

Administrative & Referral Coordinator - Orthopedic Surgery

Boston · Full-time

Sponsorship not specified$21k-$30kDetected 6 days ago

EpicRadiologyCommunicationMentoringMicrosoft Office

About the role

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, verify demographics and financial information.
Obtains pre-authorization from insurance carriers.

High School diploma required.
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.
Team player with ability to work cross-organizationally to get issues resolved.

Experience handling patient flow is helpful
Requires strong comput er skills and knowledge of the PC applications.
Windows environment and Microsoft Office pr oducts preferred.
Knowledge of the EPIC system, Caretracker and IDX or other comparable registration systems a plus.
Excellent professional demeanor.
Must be able to work effectively with all levels of staff and management
Must be able to show empathy and be courteous and diplomatic with patients.
Must frequently work independently, take initiative and handle mult iple tasks with conflicting priorities.

Requires thorough knowledge of managed care with 3 years of experience of financial clearance.
3 years of referral scheduling experience preferred.
Excellent English communication skills (verbal and written).
Excelle nt interpersonal skills.

However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.
In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

Interview all patients, families or referring physicians to obtain all financial and demographic information required for reimbursement for services rendered.
Enters patient registration data into appropriate systems according to established procedures to ensure proper reimbursement from third party payers (workers' compensation, motor vehicle accidents, etc.) and patients.
Corresponds with insurance companies, health centers and ot her health facilities to obtain necessary pri or approval numbers to ensure proper billing for payment of services prior to rendering their servic e.
Prior to scheduling verifies that procedure meets medical necessity screening using appropriate soft ware.

Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
According to the FTC, there has been a rise in employment offer scams.
Our current job openings are listed on our website and applications are received only through our website.

This listing is sourced directly from bmc's careers page and normalized into a canonical job model.