Beth Israel Deaconess Medical Center Transplant Practice Specialist in Boston, Massachusetts
Transplant Practice Specialist
Job LocationBoston, Massachusetts
Req ID 21627BR
Department Description: Working within the Transplant Department, the duties listed below may be included in the scope of responsibility; position is primarily responsible for providing data entry and administrative support for nurse coordinators who care for kidney, liver and pancreas pre and post transplant patients. Requires efficient data entry skills to enter a large volume of lab results into the transplant specific on-line medical record; will be required to obtain outside records and contact off-site labs for results. Attention to detail, teamwork and ability to work quickly and accurately are required. Position will process letters to patients and doctors as required to comply with regulatory requirements related to communicating to patients while they are waiting for an organ transplant. Will coordinate post-transplant outpatient appointments according to established protocol. Environment is very busy, fast paced and rewarding.
Knowledge of medical terminology is very helpful in this position. Experience in a healthcare setting is preferred. The hours for this role are M-F 8:30am-5pm.Job Location: Boston, MAReq ID: 21627BRJob Summary: 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.
The Transplant Institute provides care to patients along several service lines corresponding to liver, kidney or pancreas transplant, dialysis access or hepatobiliary surgery. The environment is uniquely complex due to the mixture of multiple medical specialties that comprise the Transplant Institute Team. Each service line within the Institute requires adherence to specialized requirements for patient appointments, insurance standards, and referral authorizations.
Performs check in, and 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, social workers and nutritionist. Confirms correct insurance type, type of visit and demographic information.
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.
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 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 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.
High School diploma or GED required. Associate's degree preferred.
3-5 years 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.
- Experience in healthcare strongly preferred.
Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally