Senior Patient Access Intake Specialist Rehab

Senior Patient Access Intake Specialist Rehab

Join Southcoast Health, a not‑for‑profit health system serving southeastern Massachusetts and Rhode Island. We offer inclusive, ethical workplaces and a dedication to quality patient care.

Hours: 32 hrs per week
Shift: Day shift; 9:00am - 4:00pm Mon, Wed, Fri 9:00am - 3:45pm Tues, Wed
Location: Charlton Memorial Hospital - Fall River, MA

USD $18.36 - $29.27 /hr. $1,200 new hire sign‑on bonus for eligible candidates.

• A culture of well‑being that embraces diversity
• Competitive pay and comprehensive benefits package
• Generous ETO package**
• Employee wellbeing program
• 403(b) retirement plan with company match
• Tuition assistance / Federal Loan Forgiveness programs
• Professional growth opportunities and customized leadership training
• Eligibility to regular status employees scheduled to work a minimum of 24 hrs per week.

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 and notifies patient of their potential liability in accordance with 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.

• Completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
• Knowledge and experience in obtaining and processing insurance referrals and authorizations.
• Understanding of medical terminology and managed care plans.
• Proficient keyboarding skills.
• Strong reasoning and critical thinking skills.
• Proficient in use of software applications such as e‑mail, Workday, Excel, EHR.
• Exceptional customer service skills.
• Over three years of related medical office work experience.
• Associates degree preferred.
• Must be fully vaccinated against seasonal Influenza and COVID‑19, or be exempt with a signed statement.

Southcoast Health is an Equal Opportunity Employer.