Senior Financial Insurance Authorization Specialist
Full Time
Boston, MA 02115
Posted
Job description
68838BR
Finance-Patient Access Center
Job Posting Description
The Plastics and Dental Authorization Specialist is the Perfect job for new graduates or for those who want to explore a rewarding job in pediatric health care. Leadership is willing to develop and train the right candidate. Come join a dynamic team of clinicians and administrators who help BCH provide the best pediatric care in the country. We support patients, physicians and the hospital revenue cycle by financially clearing all services patients may receive; candidates may be assigned to assist all areas within the financial clearance function as our services evolve and grow over time.
Senior Financial Insurance Authorization Specialist is responsible for:
Senior Financial Insurance Authorization Specialist is responsible for:
- Obtaining all insurance and dental authorizations and managed care referrals needed for BCH patients in accordance with insurance companies’ medical and administrative policies
- Managing daily caseloads to ensure timely completion of financial clearance in accordance with departmental processes & payer guidelines
- Communicating authorization statuses with key stakeholders (physicians, nurses, management, patients/families) throughout the authorization process
- Support physicians and other clinicians in any payer denial processes, in order to help obtain the proper financial clearance for access to care
- Facilitating insurance peer to peer reviews when needed to secure authorizations
- Participating in process improvement activities
- Collecting, verifying, and recording all demographic information required for patient financial clearance in accordance with hospital policy
- Bachelor’s degree preferred. The completion of High School Diploma or Associates degree is a minimum requirement with 1 year direct experience working with health insurance, referrals and authorizations.
- Understanding of Microsoft Office and experience with Epic registration system a plus
- The ability to communicate effectively both orally and in writing
- The ability to resolve complex problems requiring the use of critical thinking skills and scientific, mathematical, or technical principles
- The ability to work as part of a team with diverse internal and external constituencies
- Effective organizational skills and the ability to work in a fast-paced environment to ensure completion of assignments within established time frames.
- Attention to detail and completion of tasks with accuracy
- The ability to work remotely from a home office with a strong internet connection. (Due to HIPAA and patient information, this position requires to work from a private location) You must reside in MA, RI, NH or ME
Status
Full-Time
Regular, Temporary, Per Diem
Regular
Standard Hours per Week
40
Office/Site Location
Boston
Job Posting Category
Finance
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