Clinical Access Specialist PT Weekend Nights

Clinical Access Specialist Job Summary

Records complete and accurate clinical information for all patients using the electronic risk assessment/triage.

Determines, based on information provided by caller, if patient is seeking Inpatient, Partial Hospital or Outpatient treatment and proceeds accordingly.

Follows appropriate procedures depending on anticipated disposition.

• Obtains complete insurance information, including insurance company name; any applicable phone numbers employee name, DOB, and employer; and subscriber ID number.
• Verifies insurance through online resources.
• Provides insurance information to Patient Access Services to complete verification.
• Obtains all available demographic information to initiate registration process.
• Provide patient information to Patient Assessment Services and Bed Board Facilitator regarding possible admissions including any anticipated insurance impact by documenting such in Teletracking.
• Schedules patients in CERNER for Partial Hospital Programs based on admission criteria, availability and information collected at time of call.
• Collaborates with PAS, Inpatient Units, Social Work and Program Managers to efficiently schedule patients with earliest start date.
• Facilitates Butler Hospital Inpatient Admission Bed Board and patient evaluations.
• Provides referral information to patient and providers meeting the insurance, treatment, and location needs of each patient.

Works with desktop computer utilizing a variety of programs: AVATAR, Microsoft Word, Microsoft Outlook, Teletracking, CERNER

Works with phone system

Works with a variety of office equipment: PC, Copier, Fax, Cordless headset, Language Line

Qualifications

• A minimum of an Associates Degree in Behavioral Health or related field required.
• A minimum of 3 years experience in customer service with concentration in behavioral health and substance abuse treatments.
• Have knowledge of insurance verification and be able to work within several different computer programming.

Schedule

16/32 Every Friday. Saturday Night 11p-7:30a

EEOC Statement

Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Americans with Disability Act Statement

External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.