Explore opportunities at Atrius Health, part of the Optum family of businesses. We’re an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.
SUMMARY
Responsible for obtaining necessary authorizations for Imaging/Radiology exams. Ensures that all necessary documentation and preparatory activities have been completed and that proper authorizations are in the record before and/or after visits have occurred. Utilizes a thorough knowledge base on a range of referral-related issues, keeping current on the policies and procedures of a multitude of current insurance payors. Researches referral and provider information as needed. Also responsible for coordinating and facilitating the processing of patients with job related injuries or illnesses. Serves as the contact person for the patient, employer, insurer, utilization review agents, and practice staff members. Call center scheduling, performs referral outreach. Guide patients with prep instructions and arrival times. Ability to multi task and attention to detail.
EDUCATION/LICENSES/CERTIFICATIONS
High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. Proficient use of medical office and medical terminology required.
EXPERIENCE
Knowledge and understanding of various health insurance plans required. Experience with electronic medical records (e.g. EPIC) preferred. Prior experience in a medical/clinical setting preferred. Previous experience in a job requiring the ability to multi-task and prioritize activities preferred. Business experience including cash collection and Handling and computer skills required. Previous health care business office experience with CPT and ICD coding preferred.
SKILLS
Strong interpersonal, customer service, time management and organizational skills required.
Familiarity with insurance coverage and health care terminology. Excellent research capabilities on the internet needed to determine insurance benefits and find provider information. Able to explain referral requirements to both staff and patients. Able to work independently as well as to network effectively internally with other department staff. Able to work with a high level of detail in a busy and demanding environment. Able to utilize electronic communication in a clear, accurate and professional manner (position requires constant electronic communication between staff, leadership and providers).
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. Applicants will receive consideration for employment without regard to race, national origin, gender, age, color, sex, religion, disability, veteran status, sexual orientation and gender identity and/or expression, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
BENEFITS INCLUDE:
· Up to 8% company retirement contribution
· Generous Paid Time Off
· 10 paid holidays
· Paid professional development
· Generous health and welfare benefit package
Explore opportunities at Atrius Health, part of the Optum family of businesses. We’re an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.
SUMMARY
Responsible for obtaining necessary authorizations for Imaging/Radiology exams. Ensures that all necessary documentation and preparatory activities have been completed and that proper authorizations are in the record before and/or after visits have occurred. Utilizes a thorough knowledge base on a range of referral-related issues, keeping current on the policies and procedures of a multitude of current insurance payors. Researches referral and provider information as needed. Also responsible for coordinating and facilitating the processing of patients with job related injuries or illnesses. Serves as the contact person for the patient, employer, insurer, utilization review agents, and practice staff members. Call center scheduling, performs referral outreach. Guide patients with prep instructions and arrival times. Ability to multi task and attention to detail.
EDUCATION/LICENSES/CERTIFICATIONS
High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. Proficient use of medical office and medical terminology required.
EXPERIENCE
Knowledge and understanding of various health insurance plans required. Experience with electronic medical records (e.g. EPIC) preferred. Prior experience in a medical/clinical setting preferred. Previous experience in a job requiring the ability to multi-task and prioritize activities preferred. Business experience including cash collection and Handling and computer skills required. Previous health care business office experience with CPT and ICD coding preferred.
SKILLS
Strong interpersonal, customer service, time management and organizational skills required.
Familiarity with insurance coverage and health care terminology. Excellent research capabilities on the internet needed to determine insurance benefits and find provider information. Able to explain referral requirements to both staff and patients. Able to work independently as well as to network effectively internally with other department staff. Able to work with a high level of detail in a busy and demanding environment. Able to utilize electronic communication in a clear, accurate and professional manner (position requires constant electronic communication between staff, leadership and providers).
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. Applicants will receive consideration for employment without regard to race, national origin, gender, age, color, sex, religion, disability, veteran status, sexual orientation and gender identity and/or expression, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
BENEFITS INCLUDE:
· Up to 8% company retirement contribution
· Generous Paid Time Off
· 10 paid holidays
· Paid professional development
· Generous health and welfare benefit package