Addiction Recovery Program Insurance CoordinatorResource Specialist
Job Location:
Jamaica Plain, MA - USA
Hourly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Addiction Recovery Program Insurance Coordinator & Resource SpecialistHelp patients access compassionate coordinated substance use disorder care at Brigham and Womens 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 Womens 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.
PRINCIPAL DUTIES AND RESPONSIBILITIES
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 MondayFriday 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.
Qualifications
What Youll Do
- Manage admission inquiries complete substance use intakes and present cases for clinical review.
- Verify insurance coverage and complete initial and continued-stay authorizations.
- Coordinate admissions transfers aftercare outpatient follow-up and access to community resources.
- Educate and advocate for patients while collaborating with clinicians payors facilities and community partners.
- Document care coordination in the electronic medical record and support patient flow and practice operations.
- Associate degree required; bachelors degree preferred.
- Two to three years of mental health care experience preferred especially in substance use disorders.
- Strong communication collaboration customer service advocacy organization and time-management skills.
- Sound judgment and the ability to work independently multitask solve problems and adapt in a fast-paced environment.
- Strong computer skills and familiarity with addiction treatment systems of care and community resources.
Additional Job Details (if applicable)
MondayFriday 11 a.m.7 p.m.
100% onsite at Brigham and Womens Faulkner Hospital.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$25.50 - $36.49/HourlyGrade
5EEO Statement:
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
