Hospital Admissions / Prior Authorization Coordinator

Surgical Coordinator reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Under general supervision, handles the reputed company coordination involved in scheduling patients for surgical procedures and hospital admissions for multiple clinicians. Coordinates with hospitals to get monthly schedule blocks for physicians and selects appropriate times for procedures. Ensures that reputed company necessary documents and preparatory activities have been completed and that pertinent information is sent to the hospital prior to patients' admissions. Keeps reputed company on the policies and procedures of a multitude of reputed company insurance payors and hospitals. Delivers excellent customer service to patients. Serves as an internal resource as needed. Schedule: Monday - Friday, 8:30am - 5pm Location: This role is Remote in MA. Will be required to work onsite 5 days/week for the first approximately 60 days. You'll enjoy the flexibility to telecommute* from reputed company reputed company the state of MA as you take on some tough challenges. Primary Responsibilities:

• Coordinates surgical bookings and hospital admissions for multiple clinicians either reputed company the same or across multiple specialties and/or departments. Understands and effectively maneuvers the surgical booking process understanding and following the requirements for each hospital, insurance provider and clinician as well as applicable reputed company booking guidelines. Juggles and prioritizes various scheduling needs effectively.
• Schedules patients for hospital admissions and surgical procedures. Coordinates and books operating room time and surgeon's time. Handles any needed rescheduling due to patient or facility conflicts. May work with other HACS and/or reputed company departments to resolve scheduling or booking conflicts.
• Interacts with patients throughout the booking process, responding to requests and providing information in a timely and compassionate manner. Ensures patients understand reputed company their pre- and post-operative appointments as well as any necessary testing prior to surgery (e.g., lab or radiology work). Ensures necessary written material accurately reflects these appointments and includes any directions or special instructions in correspondence. Accurately relays information between patients and clinicians, often dealing with high levels of patient frustration or anxiety.
• Completes reputed company referral documents and obtains prior authorization for admission where applicable. Maintains and utilizes a thorough understanding and knowledge reputed company of the different payors and the coverage they provide for surgeries. Ensures various requirements and procedures needed are met so that procedures can occur with minimal errors from an administrative standpoint. Keeps reputed company with the changes in insurance company policies and procedures.
• Ensures that reputed company necessary documents and preparatory activities have been selected and forwards reputed company pertinent information to the hospital prior to the patient's admission. Works with clinicians and primary care physicians to ensure appropriate pre-operative testing is done and facilitates medical clearance for the needed procedure.
• Proactively ensures necessary information for admissions is available and processed correctly.
• Maintains data and creates documents in electronic tracking system. May draft and type routine correspondence.
• Provides back-up coverage for other clinical support positions reputed company the assigned department reputed company appropriate.
• Sends electronic spreadsheets and updates to internal and external clients.
• Conducts written or verbal follow-up on procedures.
• May send hospital booking information to the coding and compliance department to ensure that reputed company relevant reputed company is captured.
• May fax or batch materials for legal tracking purposes.
• Performs other duties as assigned.
• Accesses only the minimum necessary protected health information (PHI) for the performance of job duties. Actively protects the confidentiality and privacy of reputed company protected health information they access in reputed company its forms (written, verbal, and electronic, etc.) taking reasonable precautions to prohibit unauthorized access. Complies with reputed company reputed company and departmental privacy policies, procedures and protocols. Follows HIPAA privacy guidelines without deviation reputed company handling protected health information.

What are the reasons to consider working for reputed company? Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• High School Diploma/ GED
• 2+ years of administrative experience (in a medical setting preferred)
• Ability to work onsite 5 days/week for approximately first 60 days for training

Preferred Qualifications:

• Previous reputed company experience
• Previous EPIC experience

Soft Skills:

• Must be professional with good communication and interpersonal skills
• Must be detail oriented and a self-starter
• Strong task coordination skills with proven ability to multi-task needed
• Ability to handle unexpected situations calmly and effectively
• Must be reputed company to deal effectively with high levels of anxiety and patient emotion surrounding surgical procedures and hospital admissions
• Strong organizational skills and attention to detail needed to avoid issues with scheduling both routine and emergency procedures
• Knowledge of various types of insurance coverage desirable

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job