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Sr Patient Admin Coordinator- Gi/Nutrition

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Boston Children's Hospital

22d ago

  • Job
    Full-time
    Junior Level
  • People, HR & Administration
    Healthcare
  • Boston

AI generated summary

  • You must have a high school diploma, 2 years in a high-volume admin role (1 in healthcare), strong organizational skills, attention to detail, and problem-solving abilities.
  • You will manage authorizations, coordinate with insurers, schedule patient visits, address inquiries, collect medical records, train staff, and contribute to process improvements.

Requirements

  • 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 of the 2 years 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.

Responsibilities

  • The Senior Patient Administrative Coordinator Will Be Responsible For
  • Managing the authorization process for a significant variety of medicines, specialized treatments, medical procedures, 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 on the process for obtaining and responding to additional requests for prior authorizations across supported clinical area.
  • Answering, screening and routing a high volume of phone and email inquiries from patients, families and external companies in coordination of services. Recording and forwarding messages and triaging calls to clinical staff for urgent information or services. Initiating calls for emergency services as required.
  • Responding to patient’s concerns and needs within scope of knowledge and authority. Responding 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. Preparing requisitions and other standard forms as requested by clinician or supervisor. Communicating with other departments to coordinate ancillary clinical/administrative services.
  • Participating in the development of training programs to update staff on department/hospital processes particularly as it relates to prior authorizations.
  • Training, orienting and cross-training clinic staff in department systems, processes and terminology.
  • Demonstrating high-level problem resolution skills.
  • Serving as resource on clinic/service operations and procedures, payer and billing requirements.
  • 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.

FAQs

What is the main responsibility of the Sr Patient Admin Coordinator in the GI/Nutrition department?

The main responsibility of the Sr Patient Admin Coordinator is to manage the authorization process for a variety of healthcare services and treatments, coordinate patient encounters, train staff, and contribute to process improvement initiatives.

What qualifications are required for this position?

To qualify, candidates must have a high school diploma, at least 2 years of experience in a high-volume administrative role, with a minimum of 1 year in a healthcare or health insurance setting, especially related to prior authorizations. Some college education or specific training is preferred.

What kind of training will I be involved in?

The Sr Patient Admin Coordinator will participate in developing training programs to update staff on department processes, orient and cross-train clinic staff, and serve as a resource for clinic operations and procedures.

How does this role contribute to process improvement?

This role actively participates in departmental and organizational initiatives focused on continuous process improvement, recommending and assisting in implementing changes to internal systems and procedures.

What types of patient inquiries will I handle in this position?

The coordinator will handle a high volume of phone and email inquiries from patients, families, and external companies, including scheduling encounters, responding to patient concerns, and ensuring proper coordination of services.

Are there opportunities for professional development in this role?

Yes, the position involves training and development opportunities, including participation in training programs and initiatives aimed at continuous improvement of departmental processes.

What skills are essential for success in this position?

Essential skills include strong organizational abilities, attention to detail, the ability to manage multiple tasks within time constraints, effective problem resolution skills, and the ability to recognize when to escalate issues.

Is there a preference for specific experience in this job?

Yes, at least 1 year of the required 2 years of experience should ideally be in a healthcare or health insurance setting, specifically working with the prior authorization process.

What benefits does Boston Children’s Hospital offer for this position?

Boston Children’s Hospital offers competitive compensation along with benefits such as affordable health, vision, and dental insurance, generous time off, a 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounts on cell phone plans and T-passes.

Boston Children's Hospital

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Employees
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Founded Year

Mission & Purpose

Boston Children's Hospital is a 404-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Boston Children's offers a complete range of health care services for children from birth through 21 years of age. (Our services can begin interventions at 15 weeks gestation and in some situations we also treat adults.) We have approximately 25,000 inpatient admissions each year and our 200+ specialized clinical programs schedule 557,000 visits annually. Last year, the hospital performed more than 26,500 surgical procedures and 214,000 radiological examinations. Our team of physicians and nurses has been recognized by a number of independent organizations for overall excellence, and we're proud to share some notable examples with you here.