Joslin Diabetes Center

  • Pre-Registration Coordinator

    Location US-MA-Boston
    Job ID
    R3234-20
    # Positions
    1
    Category
    Clinic
    Pos. Type
    Full Time
  • Overview

    The Pre-Registration Coordinator verifies eligibility of insurance and process incoming referrals received by phone, fax, internet and mail. Input referral information into scheduling system and link to appointments as appropriate. Position must function with minimal supervision.

     

    Hours are 8:30am - 5:00pm (Monday-Friday).

    Responsibilities

    • Verifies eligibility of insurance for all patients with pending appointment and records verification in scheduling system.
    • Identify managed care appointments needing referrals for all services and program
    • Investigate and obtain referrals via electronic tools (STARS, WEB MD, POS etc)
    • Identifies patients who were seen without referral and contacts PCP offices in an attempt to obtain retroactive referrals
    • Enter referral information into scheduling system.
    • Maintain paper file system for referrals
    • Maintain and update POS provider information as needed.
    • Attends managed care informational sessions at BIDMC and advises Joslin management of contract coverage changes.
    • Maintains a thorough knowledge of third party requirements via insurance manuals, newsletters, and seminars.
    • Acts as a patient advocate by facilitating proper processing of referrals. Assists patient in issue resolution around managed care insurance claims and billing problems
    • Works with the Manager of Patient Accounts to support and facilitate periodic educational forums for administrative staff.
    • Performs other duties as assigned by the Manager

    Qualifications

    • Third Party Billing Certificate or Associates Degree in Accounting required.
    • Minimum of two years in medical office setting, including experience in both front and back office functions.
    • Applicant must demonstrated superior knowledge of HMO and PPO requirements
    • Third Party Billing Certificate
    • Superior communication skills
    • Ability to juggle multiple tasks are essential

    Joslin Diabetes Center is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status or any other status protected by law.

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