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Children's Hospital Boston Senior Patient Administrative Coordinator (Gastroenterology) in Boston, Massachusetts

57310BRTitle:Senior Patient Administrative Coordinator (Gastroenterology)Department:Medicine-GI/NutritionAutoReqId:57310BRStatus:Full-TimeStandard Hours per Week:40 Job Category:Hospital OperationsJob Posting Description: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 Senior Patient Administrative Coordinator will be responsible for:

  • Authorizations:

  • Managing the authorization process for a significant variety of medicines, specialized treatments, etc. for patients across multiple providers and specialties. Preparing letters of medical necessity based on physician notes

  • Under supervision, coordinating with insurance companies, specialty pharmacies and patient families for delivery of specialized treatments during clinic visits

  • Coordinating appeals with clinicians and patient families by preparing letters of appeal or connecting the clinician directly with the insurance company

  • Serving as a point of contact and subject matter expert for obtaining and responding to additional requests for prior authorizations across supported clinical area

  • Patient Encounters:

  • Answering, screening and routing a high volume of phone and email inquiries from patients, families and external companies

  • Responding to patient’s concerns and needs within score of knowledge and authority, and to situations requiring escalated service response

  • Scheduling patient encounters and procedures to coordinate across providers in multiple specialties. Verifying patient demographics, insurance/payment and referral information

  • Collecting and organizing medical records, information, materials and supplies required for admissions or encounters. Communicating with other departments to coordinate ancillary services

  • Training:

  • Participating in the development of training programs to update staff on processes as it relates to prior authorizations

  • Training, orienting and cross-training clinic staff in department systems, processes and terminology

  • Serving as resource on clinic/service operations and procedures, payer and billing requirements

  • Process Improvement:

  • Actively participating in and contributing to departmental and organizational initiatives and projects with a focus on continuous process improvement

  • Recommending and assisting in implementing change in internal systems and procedures

To qualify, you must have:

  • High school diploma required. Some college or occupationally-specific education/training preferred.

  • Minimum of 2 years of experience in a high volume administrative role with an emphasis on problem resolution among multiple internal and/or external parties. At least 1 year should be in a healthcare or health insurance setting working with the prior authorization process

  • Strong organizational skills and attention to detail

  • An ability to manage multiple tasks within time constraints, as well as the ability to solve problems but with a keen sense of when to escalate for appropriate resolution

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.Office/Site Location:BostonRegular, Temporary, Per Diem:Regular