Insurance Authorization Specialist (PT/OT/Speech)
Partner's Healthcare

Site: Newton-Wellesley Hospital

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.

Job Summary
Newton-Wellesley Hospital's Rehabilitation Services is committed to providing exceptional care for our patients. We are seeking an energetic, motivated individual to join our team as an Insurance Authorization Specialist. This role includes verifying coverage and benefits to enable efficient and timely care delivery. This individual is responsible for developing and maintaining up to date knowledge of individual insurance program requirements relative to Physical Therapy, Occupational Therapy and Speech and Language Pathology and works as a liaison between the department, the patient, and insurance providers. In this role the Insurance Authorization Specialist develops a strong working relationship with third party payers and physician offices, and coordinates insurance benefits for all appropriate patient visits. In addition, this role will assist with patient access and appointment scheduling, answering phones, patient registration, handling medical records, filing, and collection of co-payments. This role will also support department patient access as needed to include scheduling, check in, check out, answering phones etc.

Qualifications

High school graduate or equivalent or Junior College graduate with background in secretarial related courses. Medical terminology, transcription, word processing, and data entry skills required. Knowledge of third party payer requirements or the ability to quickly assimilate necessary information and maintain knowledge in a rapidly changing environment, the ability to demonstrate evidence of good judgment, interpersonal skills, and customer orientation. Effective communication and cognitive skills are a plus. Knowledge/experience with Insurance/Authorization and Referral Management Required Rehab (PT/OT/Speech) Support Experience preferred.

Additional Job Details (if applicable)

Additional Job Description

Remote Type

Onsite

Work Location

159 Wells Avenue

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

Newton-Wellesley Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.