Addiction Recovery Program Insurance Coordinator​/Resource Specialist

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Job Summary Addiction Recovery Program Insurance Coordinator & Resource Specialist Help patients access compassionate, coordinated substance use disorder care at Brigham and Women’s Faulkner Hospital. Make an Impact Join our interdisciplinary addiction medicine team and help patients navigate admission, insurance authorization, treatment resources, and next-step care. You will support patients across the ASAM Level 4 ATS unit, emergency department, and medical and surgical services while keeping daily operations and care transitions moving smoothly.

The Addiction Recovery Program Insurance Coordinator and Resource Specialist supports the addiction medicine team at Brigham and Women’s Faulkner Hospital, serving patients on the ASAM Level 4 ATS/“detox” unit, in the emergency department, and on medical and surgical services. Working with an MD, social workers, and a recovery coach, this role manages daily unit operations, admission requests, patient intakes, case presentations, and insurance authorizations.

The role also assists with resources and aftercare planning, including community detox placement and partial hospital or intensive outpatient programs.

• Manage the ATS phone line by answering patient calls during work hours and returning voicemails about direct admission.
• Coordinate with the emergency department for patients interested in ATS admission.
• Verify ATS insurance coverage and submit authorization after clinical acceptance.
• Complete a standardized substance use intake and present the patient to the attending physician for an admission decision.
• Coordinate with the patient, admitting staff, and nursing staff to schedule direct admission.
• Complete prior authorizations for medically necessary stay extensions.
• Attend the interdisciplinary team meeting Monday–Friday at 1 p.m. to review care and disposition plans.
• Partner with ATS and addiction consult clinicians to transition patients to further treatment, following clinical leadership and coordinating care and resource use.
• Refer patients to appropriate levels of care by providing required clinical documentation, coordinating facility transfers and intake appointments, arranging outpatient follow-up, and helping patients obtain a PCP when needed.
• Build effective relationships with internal programs, outside agencies, facilities, payors, and community resources to support patient and family disposition plans.
• Perform other duties as directed to support patient care.
• Educate patients about available resources and SUD services, clarify care goals, and help reduce barriers to achieving them.
• Provide flexible support as patient goals or plans change.
• Collaborate with ATS clinicians to identify needed supports and connect patients with services.
• Explain financial services and self-pay resources as needed.
• Follow federal and state requirements and obtain appropriate releases before sharing patient information.
• Provide practice staff coverage as needed.
• Perform related tasks that improve patient flow or quality of care.
• Document all in-person and phone care-coordination communications in the MGB electronic medical record.

Manage admission inquiries, complete…