Match score not available

TMS Benefits Coordinator

Remote:

Full Remote

Contract:

Full time

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

1+ years of medical office experience preferred, High School Diploma or GED required, Associate or Bachelor's Degree preferred, Knowledge of medical terminology needed, Understanding of HIPAA compliance necessary.

Key responsabilities:

Handle client calls and inquiries effectively
Investigate insurance coverage and benefits verification
Document correspondence in EMR accurately
Submit and track prior authorizations with providers
Monitor insurance changes and maintain accurate records

Transformations Care Network Medical Device Scaleup https://www.transformationsnetwork.com/

201 - 500 Employees

See more Transformations Care Network offers

Job description

At Northeast Health Services, a member of Transformations Care Network (TCN), we are committed to improving access to the highest-quality mental health care in our local communities. As a TMS Benefits Coordinator, you'll be an essential part of our clinical support team.

As the heart of our clinics – providing support for our clients as well as our team members, your responsibilities will range from?handling client calls by answering questions, finding solutions to issues, scheduling, answering concerns or complaints and providing essential information. Prescriber Medical Administrative Assistants have superior customer service skills and professionalism, and an ability to multi-task, be conscientious and compassionate to clients and staff.

Northeast Health Services team members are highly motivated by working as part of a collaborative cohesive team in a fast-paced environment.? These team members are champions of protecting sensitive information, complying with HIPAA, and are skilled at maintaining composure and professionalism in all situations.

Summary

The individual in this position will be expected to provide exceptional customer service to make sure the highest quality work standards are achieved and maintained according to practice policies and procedures. Must be compassionate, dependable, organized, have good communication skills, multitask, and work well with other team members. We provide the highest quality of mental health care to patients at all phases of their mental wellness journey. The primary role of the Interventional Intake Insurance coordinator member is to remotely oversee the daily requests for VOB’s, PA, Insurance email inbox, Interventional tracker updates, uploading documentation to individual charts, attend team meetings and supervisions, monitor any changes to insurance for the interventional services, Five 9 calls.

Key Responsibilities

Investigate and communicate insurance coverage and verification of Benefits.
Document all correspondence in EMR according to policy.
Review requests for Prior Authorization, communicate any issues prior to submission to the team.
Submit and resubmit prior authorizations as needed, communicate status of patients awaiting treatment with provider.
Work with provider on peer to peer and appeals.
Utilize Trakstar and adhere to timelines related to our external vendor Neurostar
Answer incoming calls on Five 9 and disposition calls as needed.
Update the patient charts, Interventional tracker, monitor and correspond through intake email, and team’s channels on a regular basis.
Identify and report changes in insurances as they arise via submission of smart sheets.
Perform additional duties as needed.
Follows company policies and procedures as well as adhering to state and/or federal regulations.

Qualifications

1 or more years of medical office experience (Preferred)
Knowledge of medical authorizations (Preferred)
High School Diploma or GED
Associate or Bachelor’s Degree (Preferred)
Knowledge of medical terminology
Understand and comply with HIPAA
Excellent communication skills
Ability to work well with a team and independently.

Explore The Advantages Of Joining Our Team

Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize patient care.
Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
Play a pivotal role in reshaping behavioral health, with your efforts directly improving patient lives.
Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents and assure your triumph in your role.

Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.