Administrative & Referral Coordinator Details

Administrative & Referral Coordinator

Boston Medical Center - Boston, MA

Employment Type : Full-Time

Administrative & Referral Coordinator

Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Position: Administrative & Referral Coordinator

Department: Dental Clinic

Schedule: Full Time

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. Facilitates communication as follows:

• Between patient and providers and 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.

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

• Requires thorough knowledge of managed care with 3 years of experience of financial clearance.
• 3 years of referral scheduling experience preferred.

• 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.