Patient Access Intake Specialist Sr-Rehab

Patient Access Intake Specialist Sr-Rehab

Location

US-MA-Fall River

ID

2025-43494

Schedule

Regular Full-Time

Remote

No

Department

SC-Rehab Services Admin

Overview

Community Focused. Care Driven.

Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it.

Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island.

Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.

Find out for yourself why Southcoast Health has been voted 'Best Place to Work' for 7 years in a row!

We are searching for a talented Patient Access Intake Specialist Sr-Rehab

Hours : 40hrs

Shift : Day shift, 8 : 30am - 5 : 00pm

Location : Charlton Memorial Hospital - Fall River, MA

A career at Southcoast Health offers you :

A culture of well-being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve

• Competitive pay and comprehensive benefits package
• Generous Earned Time Off Package
• Employee Wellbeing Program
• 403B Retirement Plan with company match
• Tuition assistance / Federal Loan Forgiveness programs
• Professional growth opportunities and customized leadership training
• Available to regular status employees who are scheduled to work a minimum of 24 hours.

Southcoast Health is an Equal Opportunity Employer.

Responsibilities

Position reports to the Operations Team Leader of Rehab Services. Perform a wide variety of duties to secure optimal revenue for all services performed at Southcoast Health Rehab Services. Determine patient liability prior to service by creating an estimate based on individual payer, notifies patient of their potential liability in accordance with the Federal and State regulations. Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests. Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service. Navigate multiple payer portals to determine requirements for authorization and submit electronic requests. Follow up with payer denials by researching clinical data to support an appeal. Verify coverage and initiate authorizations for new evaluations and treatments

Qualifications

Compensation : Pay rate will be determined based on level of experience.

Pay Range

USD $17.05 - USD $28.28 / Hr.