Administrative & Referral Coordinator

Posted 7 Days Ago
Be an Early Applicant
2 Locations
Mid level
Healthtech
The Role
The Administrative & Referral Coordinator serves as a liaison for patients, facilitating communication regarding care, scheduling appointments, obtaining insurance pre-authorizations, and ensuring accurate patient information. The role requires strong knowledge of managed care and proficiency in various healthcare systems, while also being responsible for handling patient flow and communication within the department.
Summary Generated by Built In

POSITION SUMMARY:

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. Responds to faxes and phone calls from patients, BMC departments and outside Facilities. Assists the Department to meet targets established by BUAP Administrator. Facilitates communication as follows:

  • Between patient and providers, nurse practitioners and medical assistants
  • Between patient's referring physician and BMC other departments, including assuring that correspondence is disseminated properly
  • Between providers and office support personnel

Position: Administrative & Referral Coordinator     

Department: Roslindale Medical and Dental Center

Schedule: Full Time

JOB REQUIREMENTS

EDUCATION:

High School diploma required. Additional professional certifications or completion of business school preferred.

EXPERIENCE:

Requires thorough knowledge of managed care with 3 years of experience of financial clearance.

3 years of referral scheduling experience preferred.

KNOWLEDGE AND SKILLS:

  • 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.
  • Experience handling patient flow is helpful
  • Requires strong computer skills and knowledge of the PC applications. Windows environment and Microsoft Office products preferred. Knowledge of the Eclipsys SDK system, Caretracker and IDX or other comparable registration systems a plus.
  • Excellent English communication skills (verbal and written).
  • Excellent professional demeanor. Must be able to work effectively with all levels of staff and management
  • Excellent interpersonal skills. Must be able to show empathy and be courteous and diplomatic with patients.
  • Must frequently work independently, take initiative and handle multiple tasks with conflicting priorities
  • Team player with ability to work cross-organizationally to get issues resolved.
  • Ability to maintain confidentiality.

Equal Opportunity Employer/Disabled/Veterans

Top Skills

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The Company
HQ: Boston, MA
7,294 Employees
On-site Workplace
Year Founded: 1996

What We Do

Boston Medical Center, located in Boston’s historic South End, is a private, not-for-profit, 567-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine.

Recognized for its high-quality, nationally ranked and comprehensive medical care for the entire family, patients have access to the most current treatment and advancements at BMC. BMC physicians lead the way in pioneering new therapies that impact the care of patients locally and worldwide.

In 2013, BMC made the decision to invest in a four-year campus redesign that includes additions to buildings, upgrades to existing structures, and an expansion of the Emergency Department. Once completed, the redesign will provide clinical workspaces with state-of-the-art facilities and equipment to solve BMC's most pressing care delivery needs.

Already complete, the hospital’s Shapiro Center is Boston’s newest outpatient care facility and features a quarter-million square feet of clinic space, key support services, one of the region’s most technologically advanced pharmacies, and a bright, spacious café. Housed in a facility that provides world-class, patient-centered care at every visit, BMC doctors are among the best in their field. Many are recognized annually as “Top Doctors” in their medical and surgical specialties by publications such as U.S. News & World Report and Boston magazine.

Boston Medical Center is also the largest safety net hospital in New England and extends into the community as a founding partner of Boston HealthNet, a network of 15 community health centers throughout Boston serving more than a quarter million people annually.

No matter whom you meet at BMC, all are committed to providing every patient and family member with the highest quality of care, respect, warmth and compassion.

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