
Berkshire Health Systems
742 North Street
PITTSFIELD,
MA
01201
Phone:(413) 447-2784
Fax:413-447-2091
Website: berkshirehealthsystems.org
Company Description:Berkshire Health Systems offers individuals the opportunity to work in an environment where they will be challenged, supported, and respected. As the region’s leading provider of comprehensive healthcare services, our employees are affiliated with an award winning teaching hospital, dedicated colleagues, and world class technology. The BHS family is proud to deliver the kind of advanced healthcare most commonly found in large metropolitan centers.
Job Title: |
Authorization / Referral Specialist - Berkshire Medical Center, Access Services- Shift: Days, 28hrs |
Salary Range: | Location: |
To Commensurate With Experience | Pittsfield
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Job Type: | Category: |
Part Time | Healthcare/Healthcare Professional |
Education Level: | Work Experience: |
Some College Coursework Completed
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3+
Required
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Description: | Responsible for selected fiscal aspects of scheduled/registered accounts to prepare account for billing, assuring maximum payment on a timely basis, and maintenance of accurate history files. The position is alsoresponsible for daily review of selected scheduled/registered patients to assure a solid source of re-imbursement is in place.The position will obtain all authorizations to avoid insurance denials and assure timely and appropriate third party reimbursement.They will handle inquiries and response of the appeals process. Responsible for all inquiries from patients, families, professional and institutional providers, inter and intra department staff, Government and third party payers, case management companies, patient accounting, clinical department staff, and case managers until the time of billing. Acts as a patient advocate for patients with self-pay liabilities by informing them of hospital collection policy and referring them to the Advocacy for Access Office. Schedule - 9:00am-4:30pm
- Monday through Friday
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Requirements: | Experience: - Three years' experience in a hospital admitting/billing office setting required.
- Expert knowledge of all major third-party payers, including Medicare, Medicaid, and Blue Cross required.
- Three years of experience with the Scheduling and/or Admitting Meditech modules and/or AllScripts scheduling and registration modules.
Education and Training: - Two years of college (business/health related) or equivalent work experience.
License, Certification: Other Requirements: - Strong typing ability (40 wpm) and computer skills (ie. Personal Computer - Windows).
- Manual dexterity necessary for typing/computer purposes.
- Professional presentation with exceptional
- Customer Service skills including oral, written and telephone communication required.
- Ability to speak the English language in a clearly understandable manner.
- Proven ability to interact appropriately with hospital staff and physicians, acting as a role model in representing the Medical Center to the community.
- Ability to consistently maintain high level of confidentiality.
- Demonstrated ability to handle stressful situations calmly and rationally, control potentially difficult people/situations, and meet deadlines, even with high volume of interruptions.
- Demonstrated ability to work independently, prioritize duties and manage time with a minimum of supervision.
- Demonstrated high level of professional judgment, problem solving and strong organizational skills.
- Ability to troubleshoot and maintain proper operation of business equipment.
- Proven ability to learn quickly as technology/insurance requirements change.
- Proven ability to be an effective team member.
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