Clinical Access Specialist

Department: BH-BEHAVIORAL HEALTH CALL IN
Operating Unit Butler Hospital
Location: Providence, RI
Job ID: 6235
Job Status: Part Time
Shift: Nights
End Date:

Responsibilities:

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.

Maintains required competencies through participation in hospital and department training and Net Learning.

Participates responsibly in supervision and communicates concerns appropriately to department administrators in a constructive and timely manner.

Adheres to Butler Hospital Service Standards.

Requirements:

Associates degree in Behavioral Health/Human Service desired in absence of experience.

Experience in Behavioral Health Services required. Insurance Verification experiences a plus.

Scheduled Hours: Every Friday and Saturday Night, part -time, non-benefited position.