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We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients.

Position Summary:

Under the direction of the Manager of the Radiation Oncology department, provides administrative support to the radiation team. We are a busy department providing radiation therapy to cancer patients at the Greene Cancer Center located at 25 Libby Street Brockton, MA.

We primarily use Varian Aria software but also bill using the Meditech system.

Aria training will be provided.

Responsibilities:

+ Schedule and coordinate meetings for directors that may include conference rooms, conferencing technology, agenda preparation, set up, recording of minutes, etc.

+ Coordinates calendar for directors to maximize efficiency & minimize scheduling conflicts.

+ Handle all communication like telephones and bulk of correspondence which arrives through postal mails, emails, faxes, etc. and triage to appropriate functional area and staff.

+ Assist in the management of operational process and logistics of entire department to ensure both internal and external customer needs are met.

+ Maintains inventory of supplies and equipment; orders supplies when necessary; completes, processes, and maintains paperwork.

+ Establishes and maintains hard copy and/or electronic filing systems for departmental data, documents, and other materials. Responsible for outside storage and retrieval system

+ Coordinate and post document to Signet departmental webpage and intranet pages.

+ Support efforts to support Lean with balance score card, problem solving boards, suggestion systems, etc.

+ Prepare or assist in preparing various administrative reports.

+ Share responsibility for safety aspects of department.

+ Actively participate in Lean Management System of problem solving and wiling to contribute ideas to improve processes, procedures, etc.

+ Work is self-reviewed for accuracy and completeness in accordance with established standards before being presented as complete.

Additional Responsibilities

+ Demonstrate respect and regard for the dignity of all patients, familles, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.

+ Commit to recognize and respect cultural diversity for all customers (internal and external)

+ Communicate effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utlizing interpreters when needed.

+ Perform other duties as assigned.

Additional Responsibilities

+ Perform functions related to accurate and timely charge capture for billing of office visits and treatment charges within two systems (Aria and Meditech).

+ Daily data entry of charges into Meditech as well as working with multiple departments (coding, AP, medical records) and US Oncology to get claims paid.

+ Review medical record to ensure documentation meets medical necessity guidelines and supports professional CPT codes submitted.

+ Obtain prior authorizations for treatment via payer website or by phone and follow up regularly on pending cases.

+ Prioritize incoming authorization requests according to urgency.

+ Maintain individual payer files to include up to date requirements needed to successfully obtain prior authorizations for treatment.

+ Verify correct CPT coding and seek clarification when necessary on daily basis.

+ Respond to clinic questions regarding payer medical policy guidelines from insurances and hospital departments.

+ Work with patient accounts and coding departments to confirm accuracy of CPT and ICD-10 coding.

+ Perform patient chart audits to ensure no billable CPTs were missed per services rendered.

+ Work with patient accounts department to initiate appeals for denied claims.

+ Submit appeals for unpaid claims