Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.
SUMMARY
Under general supervision, delivers excellent customer service to patients through participation in Insurance Authorization management. Obtains necessary insurance specialty referral and outpatient authorizations. Ensures all necessary documentation and information is in patients EMR(Epic)to obtain approval from insurance companies. Documents all proper authorizations in patients EMR(Epic) for retrospective and prospective non-Atrius specialty referrals and ancillary services. Handles a variety of referral and authorization-related issues, responsible for keeping current on the policies and procedures of a multitude of current insurance payors.
EDUCATION/LICENSES/CERTIFICATIONSHigh School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. If position serves as back up to medical assistants, an associate’s degree or certification in medical assisting may be required.
EXPERIENCE
Preferred three years’ experience in an Insurance, clinical and/or customer service setting. At least one year in a position equivalent to the Medical Secretary II preferred. Computer experience required.
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 referral coordinators and/or benefit coordinators. Able to work with a high level of detail in a busy and demanding environment.
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.
BENEFITS INCLUDE:
· Up to 8% company retirement contribution
· Generous Paid Time Off
· 10 paid holidays
· Paid professional development
· Generous health and welfare benefit package
Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.
SUMMARY
Under general supervision, delivers excellent customer service to patients through participation in Insurance Authorization management. Obtains necessary insurance specialty referral and outpatient authorizations. Ensures all necessary documentation and information is in patients EMR(Epic)to obtain approval from insurance companies. Documents all proper authorizations in patients EMR(Epic) for retrospective and prospective non-Atrius specialty referrals and ancillary services. Handles a variety of referral and authorization-related issues, responsible for keeping current on the policies and procedures of a multitude of current insurance payors.
EDUCATION/LICENSES/CERTIFICATIONSHigh School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. If position serves as back up to medical assistants, an associate’s degree or certification in medical assisting may be required.
EXPERIENCE
Preferred three years’ experience in an Insurance, clinical and/or customer service setting. At least one year in a position equivalent to the Medical Secretary II preferred. Computer experience required.
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 referral coordinators and/or benefit coordinators. Able to work with a high level of detail in a busy and demanding environment.
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.
BENEFITS INCLUDE:
· Up to 8% company retirement contribution
· Generous Paid Time Off
· 10 paid holidays
· Paid professional development
· Generous health and welfare benefit package