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Practice Assistant - Transplant Department


Department Description: Working in the Transplant Institute, the Practice Specialist role is a challenging and rewarding opportunity to be a member of the team that provides care to a very complex patient population. Working closely with an assigned team including Nurse Coordinators, Financial Coordinator, Social Workers other Transplant Practice Specialist and Doctors the position will help coordinate medical and ancillary testing appointments for patients being evaluated for a kidney or pancreas transplant. The position will also work with patients who are waiting for a transplant and need routine appointments and ancillary testing in order to maintain optimal health until transplanted.

The ideal candidate will be a bright, articulate, detail-oriented team player and will possess a willingness to multitask amongst the shifting needs of the department. The successful candidate needs to enjoy working with a multidisciplinary team; the environment is fast-paced which requires strong attention to detail, strong communication skills via computer, phone and face to face and requires the ability to independently complete a diverse array of responsibilities. There will be patient contact primarily through phone calls to coordinate medical schedules; these interactions are rewarding and very important to help patients understand their appointment schedules.

Job Location: Boston, MA

Req ID: 40809BR


Job Summary: The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing the patient appointment schedule, obtaining insurance approval for appointments, and answering the main phone line. Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication.
The Transplant Institute provides care to patients along several service lines corresponding to liver, kidney or pancreas transplant, dialysis access or hepatobiliary surgery. The environment is uniquely complex due to the mixture of multiple medical specialties that comprise the Transplant Institute Team. Each service line within the Institute requires adherence to specialized requirements for patient appointments, insurance standards, and referral authorizations.

Essential Responsibilities:
  1. Obtains referrals required for patient prior to scheduled visits; maintains 100% compliance with referral management requirements and current knowledge base of referral and authorization rules and related policies for multiple insurance and managed care payers including transplant specific policies; maintains record of referral, level of care and number of visits being authorized.
  2. Assists patients with full registration, updates insurance information at each visit to ensure collection of accurate information for billing and accurate capture of pre-transplant services; collaborates with Financial Coordinator to verify that mandatory policies are followed; notifies Financial Coordinator of insurance changes identified at check-in.
  3. Performs check in, and coordinates and schedules multiple new and follow-up appointments in person, via e-mail and over the phone to support a multidisciplinary team including surgeons, hepatologists, nephrologists, infectious diseases, social workers and nutritionist. Confirms correct insurance type, type of visit and demographic information.
  4. Collaborates with Transplant Nurse Care Coordinators to maintain up-to-date patient information in the Organ Transplant and Tracking Record database and records time per instructions on monthly Medicare time study.
  5. Answers, screens and processes a high volume of calls in a professional manner; utilizes and adheres to the phone scripts and guidelines for triaging calls; asks appropriate questions and uses independent judgment within scope of knowledge and authority to determine the type of appointment, appropriate provider and urgency needed. Records and forwards accurate messages to providers and staff.
Required Qualifications:
  1. High School diploma or GED required. Associate's degree preferred.
  2. 1-3 years related work experience required.
  3. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications:
  1. Experience in healthcare strongly preferred.
Competencies:
  1. Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
  2. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
  3. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
  4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
  5. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
  6. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
  7. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
  8. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally
EOE Statement

BIDMC is EOE M/F/VET/DISABILITY/GENDER IDENTITY/SEXUAL ORIENTATION

Vaccines

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. BILH requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement

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