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OP Managed Care Coordinator FT Days

Butler Hospital
place Providence, 02901
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Full Time
Experience:
Avoidant Personality Disorder
Gender Dysphoria
ECT
Individuals
Faith-based organizations
In-patient Non-Psychiatric

About Job

Responsibilities:

Patient Benefit Verification Information: Ensures accurate completion of benefit verification of all new patient insurance information and authorization in accordance with State and Federal regulations, individual requirements and Hospital policies and procedures.

Insurance Referral & Authorization Requirements: Responsible for obtaining required authorizations and/or referrals for all new outpatients scheduled by OP intake coordinators and physician admins for existing and new outpatient program visits

Patient Financial Responsibility: Reviews/obtains insurance co-payment information from third party payers for accuracy. Communicates co-payment and deductible information to Outpatient Receptionists, PBO and Patients.

Requirements:

Education: High School Diploma

Training and Experience: Benefit verification 2 to 4 years exp,

Special Qualifications: Systems: Epic, Cerner preferred but not required

Applicants MUST have strong knowledge and experience with insurance benefit interpretation, interacting with insurance companies, etc.

Schedule:

You are being hired to replace a striking employee. For the purposes of the National Labor Relations Act only, you are classified as a permanent replacement for that employee. That means that we intend to employ you as a ‘regular’ employee. You will not be terminated solely for the purpose of reinstating strikers whom you have replaced unless reinstatement of those strikers is required by, or agreed to as part of a settlement with, the National Labor Relations Board, a court of competent jurisdiction, or the provisions of a strike settlement agreement between Butler Hospital and the Union.

Your employment at all times is subject to the standards of performance and conditions of employment applicable to employees of Butler Hospital.

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

Professional Field

professional badgeOther Behavioral, Mental, or Healthcare Field

Patient Focus

Diagnoses

Avoidant Personality Disorder
Gender Dysphoria

Age Groups

Preteens/Tweens (11-13)

Therapeutic Approach

Methodologies

ECT

Modalities

Individuals

Practice Specifics

Settings

Faith-based organizations
In-patient Non-Psychiatric
In-patient Psychiatric
Partial Hospitalization (PHP)
Research Facilities/Labs/Clinical Trials
State/Federal Government
Home Health/In-home
Military
Forensic