Referral Services Associate at Mass General Brigham Healthcare at Home in Waltham, Massachusetts

Job Description:

At Mass General Brigham Home Care, we place great value on being a diverse and inclusive community. Mass General Brigham Home Care is dedicated to diversity, equity, and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.


A fast-paced customer service, and data entry department. Referrals are prepared for admission to home care. Process internal and external referrals by receiving patient information from a variety of methods. Clinical and non-clinical information is obtained and entered into a computerized system. Relevant information is communicated to all stakeholders. Respond to external and internal inquiries by providing information and assistance.



Qualifications

This is a hybrid role and will train in Newton, MA. This position will work 10am - 6:30pm, M-F and will rotate working weekends with the hours 8:30am - 5pm.




Key Responsibilities

• Assisting Mass General Brigham Home Care Clinical Liaisons to facilitate referrals from health care providers to MGBHC by capturing data points on a referral for liaison to review and follow up on with provider.
• Assist with management of and triaging of incoming Referral orders from electronic portals and incoming documents.
• Complete tasks as assigned to ensure that all information required for a patient admission is complete.
• Educate callers on services that MGBHC provides
• Work in MGBHC electronic referral system 4-Next
• Ensure that all requirements for referral acceptance are checked including but not limited to, geography, Insurance, current capacity, agency and CMS compliance
• Assist with management and triaging of incoming orders and documents.
• Complete tasks as assigned to ensure that all information required for a patient admission is complete for a visit to be scheduled
• Referral requests for services are processed ensuring all information is complete and accurate according to Intake policies.
• Clinical and non-clinical data is entered, updated, and corrected in computer system according to Intake policies.
• Clinical resources are obtained appropriately when decisions required are clinical in nature.
• Customers are referred to appropriate agency (e.g., Private Services or Hospice) that will meet their needs.
• Referrals are received directly from sale of service clients, 4NEXT and/or the fax server and processed according to department procedures.
• Work equipment will be maintained, and problems will be resolved including notification to manager
• Communication with all customers is practiced in an effective and efficient manner according to department guidelines of providing excellence in customer service
• Additional tasks as required



Education/Degree Requirements

Associate degree preferred



Preferred Experience

• 2-3 years clerical experience
• Computer skills in Microsoft Office and ability to learn other software applications required
• Must be able to work a varied and changing work schedule
• Basic medical terminology preferred
• Knowledge of insurance, managed care and discharge planning in home health preferred
• Highly developed critical thinking communications and customer service skills necessary
• Strong written, verbal, and electronic communications skills
• Ability to interact effectively with a diverse population
• Strong organizational skills and ability to accurately work with detailed information



Skills Specific learned activity gained through training, e.g., keyboarding, computer skills,



Physical Environment
Hybrid variable remote environment. In office presence required for new employee orientation, precepting also as requested by department manager.



EEO Statement

Mass General Brigham Home Care is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.