Beth Israel Lahey Health
Transplant Practice Specialist- BIDMC (Heart Transplant Program, 40 hours)
Beth Israel Lahey Health, Boston, Massachusetts, us, 02298
Overview
Transplant Practice Specialist- BIDMC (Heart Transplant Program, 40 hours) When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing the patient appointment schedule, obtaining insurance approval for appointments, and answering the main phone line. Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication. As the Heart Transplant Program develops and grows, there is a need for an experienced administrator to assist in physician referral contact, scheduling patient evaluations, and supporting transplant nurses and providers. Upcoming patient updates, appointments, and an increase in current advanced heart failure referrals for transplant will require this supportive role. Within the Advanced Heart Failure Program at Beth Israel Deaconess Medical Center, the Heart Transplant Practice Specialist will collaborate with the nurses, physicians, pharmacists, and nurse practitioners of the program to assist in the safe delivery of patient care. The multi-disciplinary approach used for patients during the evaluation, pre-operative, and post-transplant phases of care helps to ensure that all groups are involved throughout the heart transplant process. In 2024, the Advanced Heart Failure Program will move into a new ambulatory space that will include clinic space for patient evaluation as well as administrative offices for the multi-disciplinary team members.
Responsibilities
Obtains referrals required for patient prior to scheduled visits; maintains 100% compliance with referral management requirements and current knowledge base of referral and authorization rules and related policies for multiple insurance and managed care payers, including transplant-specific policies; maintains record of referral, level of care, and number of visits being authorized. Assists patients with full registration, updates insurance information at each visit to ensure collection of accurate information for billing and accurate capture of pre-transplant services; collaborates with Financial Coordinator to verify that mandatory policies are followed; notifies Financial Coordinator of insurance changes identified at check-in. Performs check-ins, coordinates, and schedules multiple new and follow-up appointments in person, via e-mail, and over the phone to support a multidisciplinary team including surgeons, hepatologists, nephrologists, infectious diseases specialists, social workers, and nutritionists. Confirms correct insurance type, type of visit, and demographic information. Collaborates with Transplant Nurse Care Coordinators to maintain up-to-date patient information in the Organ Transplant and Tracking Record database and records time per instructions on the monthly Medicare time study. Answers, screens, and processes a high volume of calls in a professional manner; utilizes and adheres to the phone scripts and guidelines for triaging calls; asks appropriate questions and uses independent judgment within the scope of knowledge and authority to determine the type of appointment, appropriate provider, and urgency needed. Records and forwards accurate messages to providers and staff.
Qualifications
High School diploma or GED required. Associate's degree preferred. 1-3 years of related work experience required. Experience with computer systems required, including web-based applications and some Microsoft Office applications, which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications and Competencies
Experience in healthcare strongly preferred. Competencies: Decision Making, Problem Solving, Independence of Action, Written Communications, Oral Communications, Knowledge, Team Work, Customer Service.
Physical and Other Details
Physical Nature of the Job: Sedentary work; Exerting up to 10 pounds of force occasionally; Sitting most of the time; walking and standing required only occasionally.
Pay Range
$22.05 - $31.49
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
Equal Opportunity Employer/Veterans/Disabled
Location and Application Notes
Referrals increase your chances of interviewing at Beth Israel Lahey Health by 2x. Get notified about new Specialist jobs in Boston, MA.
#J-18808-Ljbffr
Transplant Practice Specialist- BIDMC (Heart Transplant Program, 40 hours) When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing the patient appointment schedule, obtaining insurance approval for appointments, and answering the main phone line. Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication. As the Heart Transplant Program develops and grows, there is a need for an experienced administrator to assist in physician referral contact, scheduling patient evaluations, and supporting transplant nurses and providers. Upcoming patient updates, appointments, and an increase in current advanced heart failure referrals for transplant will require this supportive role. Within the Advanced Heart Failure Program at Beth Israel Deaconess Medical Center, the Heart Transplant Practice Specialist will collaborate with the nurses, physicians, pharmacists, and nurse practitioners of the program to assist in the safe delivery of patient care. The multi-disciplinary approach used for patients during the evaluation, pre-operative, and post-transplant phases of care helps to ensure that all groups are involved throughout the heart transplant process. In 2024, the Advanced Heart Failure Program will move into a new ambulatory space that will include clinic space for patient evaluation as well as administrative offices for the multi-disciplinary team members.
Responsibilities
Obtains referrals required for patient prior to scheduled visits; maintains 100% compliance with referral management requirements and current knowledge base of referral and authorization rules and related policies for multiple insurance and managed care payers, including transplant-specific policies; maintains record of referral, level of care, and number of visits being authorized. Assists patients with full registration, updates insurance information at each visit to ensure collection of accurate information for billing and accurate capture of pre-transplant services; collaborates with Financial Coordinator to verify that mandatory policies are followed; notifies Financial Coordinator of insurance changes identified at check-in. Performs check-ins, coordinates, and schedules multiple new and follow-up appointments in person, via e-mail, and over the phone to support a multidisciplinary team including surgeons, hepatologists, nephrologists, infectious diseases specialists, social workers, and nutritionists. Confirms correct insurance type, type of visit, and demographic information. Collaborates with Transplant Nurse Care Coordinators to maintain up-to-date patient information in the Organ Transplant and Tracking Record database and records time per instructions on the monthly Medicare time study. Answers, screens, and processes a high volume of calls in a professional manner; utilizes and adheres to the phone scripts and guidelines for triaging calls; asks appropriate questions and uses independent judgment within the scope of knowledge and authority to determine the type of appointment, appropriate provider, and urgency needed. Records and forwards accurate messages to providers and staff.
Qualifications
High School diploma or GED required. Associate's degree preferred. 1-3 years of related work experience required. Experience with computer systems required, including web-based applications and some Microsoft Office applications, which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications and Competencies
Experience in healthcare strongly preferred. Competencies: Decision Making, Problem Solving, Independence of Action, Written Communications, Oral Communications, Knowledge, Team Work, Customer Service.
Physical and Other Details
Physical Nature of the Job: Sedentary work; Exerting up to 10 pounds of force occasionally; Sitting most of the time; walking and standing required only occasionally.
Pay Range
$22.05 - $31.49
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
Equal Opportunity Employer/Veterans/Disabled
Location and Application Notes
Referrals increase your chances of interviewing at Beth Israel Lahey Health by 2x. Get notified about new Specialist jobs in Boston, MA.
#J-18808-Ljbffr