At Boston Children's Hospital, success is measured in patients treated, parents comforted and teams taught. It's in discoveries made, processes perfected, and technology advanced. In major medical breakthroughs and small acts of kindness. And in colleagues who have your back and patients who have your heart. As a teaching hospital of Harvard Medical School, our reach is global and our impact is profound. Join our acclaimed Gastroenterology team and discover how your talents can change lives. Yours included.
The Patient Administrative Coordinator will be responsible for:
Manages the prior authorization process for patients of subspecialists across multiple specialties. Prepares letters of medical necessity based on physician's notes.
Coordinates appeals with clinicians and patient families by preparing letters of appeal or connecting the clinician directly with the insurance company.
May serve as point of contact on the process for obtaining and responding to additional requests for prior authorizations for medicines across relevant insurance companies for supported clinical area.
Answers, screens and routes a high volume of phone and email inquiries from patients, families and external companies in coordination of clinical services. Records and forwards messages and triages calls to nurses and physicians. Initiates calls for emergency services as required.
Responds to patient's concerns and needs within scope of knowledge and authority and in accordance with best practices and procedures. Responds to situations requiring escalated service response.
Schedules patient encounters and procedures to coordinate within and across providers in multiple specialties within and across providers in multiple specialties. Obtains and records required authorizations for prescription medication with insurance providers. Verifies patient demographics. Collects all necessary clinical documentation and information.
Collects and organizes medical records, information, materials and supplies required for admissions or encounters. Prepares requisitions and other standard forms as requested by clinician or supervisor. Communicates with other departments to coordinate ancillary clinical/administrative services. Prepares, routes and tracks routine administrative forms and documents.
Actively participates in and contributes to departmental and organizational initiatives and projects with a focus on continuous process improvement.
Recommends and assists in implementing change in internal systems and procedures.
To qualify, you must have:
A high school diploma required. Some college or occupationally-specific education/training preferred.
Minimum of 1 year in a high volume administrative role with an emphasis on problem resolution among multiple internal and/or external parties.
Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organizational needs.
Boston Children's Hospital offers competitive compensation and unmatched benefits, including affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, cell phone plan discounts and discounted rates on T-passes (50% off). Discover your best.
Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
Internal Number: 3024966
About Boston Children's Hospital
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.