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Administrative Coordinator - 1776136
$47k-59k (estimate)
Full Time | Ambulatory Healthcare Services 3 Months Ago
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Massachusetts General Hospital is Hiring an Administrative Coordinator - 1776136 Near Boston, MA

Under the general supervision of the Administrative Manager and per the established policies and procedures, the Insurance specialist is responsible for overseeing the Radiation Oncology authorization process. Working very closely with nurses, physicians and other clinical staff members to ensure a quality-based, customer-oriented flow of work throughout the practice. Serves as the subject matter expert in radiation oncology authorizations, and is the resource person for support staff, intake manager and all clinical staff.
Understands all insurance medical policies, including managed care plans, HMO’s and unusual coverage. Determines eligibility and obtains Prior authorizations and Pre-determination from third party payers for all types of radiation procedures (i.e. Proton, IMRT, VMAT, SRS, SBRT, 3D). Requires understanding of coordination of benefits, and references medical policies for coverage. Provides information to patients regarding eligibility for radiation services.
  • Responsible for locating medical policy on insurance website and determining eligibility using external resources
  • Responsible for providing necessary information as required by third party payer, and completing required pre-authorization forms (payer specific)
  • Will set up peer to peer review with the physician and third party, documenting outcome
  • Responsible for obtaining a letter of medical necessity for radiation treatment from the physician
  • Informs patient and physician of any potential problems with coverage or authorization prior to scheduling appointment
  • Responsible for obtaining all authorizations, in an appropriate time frame. Must have great time management skills as well as great follow through to see the authorization from start to finish
  • Will require an understanding of radiation oncology CPT codes for treatment authorization, as well as ICD10 codes for diagnosis
  • Will be required to work very independently and function at a very high level in order to complete pre-auth and pre-D form submission
  • Attends Proton rounds every Tuesday and communicates to physicians any potential insurance barriers
  • Responsible for updating “Whiteboard” with authorization information
  • Attends weekly managed care meetings
  • Will work to obtain an estimate of charges for the international office or at any patient request
  • Maintains excellent records (electronic and otherwise) of all referrals and inquiries.
  • Participates in an open line of communication with the team (adult and Pedi) to collaborate, exchange information and review patient scheduling status
  • May be required to provide clinical documentation for insurance review
  • Will be responsible for working the RO Insurance mailbox
  • Responsible for working any patient denial and appeal
  • Responsible for working Epic work queues
  • Responsible for accuracy and quality of individual work assignment, and a willingness to assist other team members validating the importance and value of team success
QUALIFICATIONS:
  • Associates Degree or higher preferred
  • Minimum of 5 years of healthcare experience
  • Knowledge of third party payers a plus
  • Knowledge of ICD10 and CPT coding a plus
  • Must have basic knowledge of Anatomy and Physiology
  • Medical terminology and medical coding knowledge desired.
  • Excellent customer service and communication skills
  • Good organizational skills required to handle multiple tasks in a busy environment
  • Basic knowledge of Outlook, word and excel. Will train in department system.
  • Ability of work independently and prioritize work.
  • Excellent customer service and communication skills
  • Good organizational skills required to handle multiple tasks in a busy environment

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$47k-59k (estimate)

POST DATE

02/07/2024

EXPIRATION DATE

05/30/2024

WEBSITE

massgeneral.org

HEADQUARTERS

BOSTON, MA

SIZE

7,500 - 15,000

FOUNDED

1811

TYPE

Private

CEO

CATHY E MINEHAN

REVENUE

$1B - $3B

INDUSTRY

Ambulatory Healthcare Services

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About Massachusetts General Hospital

Massachusetts General Hospital provides diagnostic and therapeutic care services.

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The job skills required for Administrative Coordinator - 1776136 include Customer Service, Scheduling, Time Management, Organizational Skills, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be an Administrative Coordinator - 1776136. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Administrative Coordinator - 1776136. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Administrative Coordinator - 1776136 positions, which can be used as a reference in future career path planning. As an Administrative Coordinator - 1776136, it can be promoted into senior positions as an Administrative Assistant III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Administrative Coordinator - 1776136. You can explore the career advancement for an Administrative Coordinator - 1776136 below and select your interested title to get hiring information.

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If you are interested in becoming an Administrative Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Administrative Coordinator for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Administrative Coordinator job description and responsibilities

They may correspond with clients and office staff, train and supervise other administrative employees and complete a number of projects and office-related responsibilities.

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Administrative coordinators handle clerical, archiving and administrative duties and coordinate general administration within organizations.

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Administrative coordinators typically organize, supervise, and facilitate this workflow. They also lead other administrative workers by assigning tasks, developing skills, and planning administrative projects.

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The Administrative Coordinator has the authority to enforce the Standards of Behavior and works to ensure that the Mission, Vision and Values of the organization are upheld on a daily basis.

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They also lead other administrative workers by assigning tasks, developing skills, and planning administrative projects.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Administrative Coordinator jobs

Strong administrative assistants excel at organization, management of multiple peoples' time and expectations, and have a self-starter attitude, getting things done before others recognize the need.

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Knowledge on word processing using spreadsheets and travel logistics.

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Streamlining of volunteer administrative processes 

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Bilingual (English / Korean) administrative coordinator is a plus.

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Have at least 3 years nonprofit administrative or program support experience.

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