Beth Israel Lahey Health

Therapist

• Lead home care services for a dedicated caseload
• Perform assessments
• Initiate rehabilitative procedures
• Coordinate with physicians
• Bridge between hospital and recovery at home

Junior Physical Therapists, PT

Analyst

• Maintain a system of reporting that provides timely and relevant information on all aspects of clinical appeals, audits, and compliance issues to management.
• Participates in complex projects related to denial initiatives.
• Provides support for projects in which senior managers are involved.
• Assist in the tracking and review of payer audit and denial results.
• Prepare appeal requests as appropriate.
• Responsible for appealing and defending claims denials, adverse audit results, and sanctions.
• Analysis, tracking, and trend of daily, weekly, and monthly denials by payer using denial reporting tools.
• Perform process review of denials by hospital departments,
• Draft, revise, and enforce BILH policies and procedures as they apply to appeal and audit functions.
• Conduct regular audits to ensure that BILH is coding, billing, and documenting completely and accurately and is in compliance.
• Analyzes work queues and other system reports identifies denial/non-payment trends, and reports and provides recommendations to the Revenue Cycle Leadership.
• Proactively identifies problems or opportunities for improvements related to clinical orders and/or clinical documentation.

Clinical Analyst – Appeals

• Under the direction of a Registered Physical Therapist (RPT), provide physical therapy services to patients in their place of residence
• Implement selected components of individualized treatment programs and discharge plans in accordance with the plan of care
• Review the plan of care with the supervising RPT and accept delegated tasks within the limits of capabilities
• Perform selected visits/interventions as directed by the RPT
• Monitor patient’s response to the established plan of care and consult with the RPT as needed
• Participate in educating the patient and family in therapeutic exercise programs and functional activities
• Ensure effective care coordination by maintaining contact with patients and multidisciplinary clinical team

Physical Therapy Assistant

Bilingual

• Advocate for patient needs through ongoing psychosocial needs assessments
• Collaborate with treatment team for appropriate inpatient disposition
• Identify barriers to discharge or treatment transitions
• Coordinate referrals and facilitate transitions in treatment
• Provide direct clinical therapeutic interventions to prevent relapse
• Educate patients and families on illness, recovery, and treatment options

LICSW, Bilingual in Spanish Required

• Coordinates radiation therapist assignments under the supervision of the Radiation Oncology Manager
• Manages daily staffing requirements for radiation treatments
• Oversees administration of radiation therapy treatments and simulations as prescribed
• Collaborates with all functional areas to ensure smooth patient care flow
• Orients and trains staff on new procedures/equipment
• Participates in departmental Quality Assurance and Improvement committees

Chief Radiation Therapist

Administrative Assistant

• Answer and direct phone calls; greet and assist visitors and patients
• Schedule appointments, meetings, and maintain calendars
• Prepare and proofread correspondence, reports, and documents
• Maintain organized records, files, and databases
• Support patient care by updating demographic and insurance information
• Coordinate with other departments to resolve issues and ensure timely service
• Assist with prescription renewals and clinical documentation

Financial Planning and Analysis

• Responsible for efficient & timely billing and collections of hospital outstanding balances
• Utilizes the Epic Hospital Billing System to review and monitor accounts
• Works assigned outstanding and denied accounts
• Contacts insurance carriers or other responsible parties for claim confirmation
• Performs all necessary denial activities to obtain payment/resolution of claims
• Reviews accounts to ensure claims were billed properly and payments were applied correctly
• Gathers documentation needed to have claims reprocessed
• Communicates problematic accounts to management
• Identifies and researches incomplete or inaccurate information on claims
• Works claims edit work queue daily and resubmits claims through the Epic billing system

Patient Financial Services Representative – Hospital Billing

Medical writer

• Assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided
• Initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data
• Reviews inpatient records to ensure completeness, accuracy, and clinical validation
• Evaluates documentation for assignment of working and possible DRG
• Recognizes opportunities for documentation improvement
• Identifies opportunities to query physicians regarding missing, unclear, or conflicting documentation
• Interacts directly with physicians to request and obtain additional documentation when needed
• Facilitates modifications to physician documentation to reflect the complexity of care of the patient
• Collaborates with and educates members of the patient care team regarding documentation guidelines

Clinical Documentation Specialist I – CDI

Events

• Independently and routinely performs healthcare-associated infection (HAI) surveillance (CLABSI, CAUTI, SSI) with accuracy.
• Investigate potential patient and staff exposures to relevant infectious diseases, complete any necessary documentation, and communicate with Employee Health and potentially exposed departments promptly.
• Independently perform case evaluation, management, and public health reporting for infectious diseases of public health concern (e.g. tuberculosis, Mpox).
• Supports hospital-wide infection prevention regulatory readiness activities, including surveys performed by The Joint Commission (TJC), local and state departments of public health (DPH), and Centers for Medicare and Medicaid Services (CMS).
• Serve as the primary infection prevention contact/content expert for inpatient and outpatient units and/or service lines.

Infection Preventionist 3

Project Manager

• Partner with project sponsors to define scope, goals, success criteria, and assumptions
• Develop and implement clear, effective communication strategies
• Create engaging presentations that inform and influence stakeholders
• Identify project resources and key stakeholders
• Facilitate team participation and process documentation
• Manage multiple projects and competing deadlines with strong organization

Project Administrator

Community Manager

• Provide excellent phlebotomy and phlebotomy-related services for all patients
• Validate and/or update patient’s demographic and information in a BILH computer system
• Collect and accurately enter patient’s demographic information, insurance information, and lab test orders
• Collect specimens according to established procedures, including blood collections
• Prepare all collected specimens for transport via a courier service to a BILH laboratory
• Perform administrative and clerical duties as necessary to open, operate, and close the Patient Service Center
• Assist in training, coaching, and mentoring PSC Phlebotomists as requested
• Travel to additional Patient Service Centers and doctor’s office sites when needed
• Comply with all departmental policies and procedures

Phlebotomist – Lab Outreach Community

• Verifies patient's insurance eligibility
• Identifies payer medical necessity determination
• Determines authorization requirement
• Completes assigned work queues and reports daily
• Follows BIDMC policies and procedures
• Identifies trends and provides periodic reports

Financial Clearance Specialist

Executive Assistant

• Types a variety of memos, manuscripts, correspondence, reports, minutes, schedules, and forms
• Maintains billing for surgical workload and outside vendors
• Answers telephone, screens calls, refers to the appropriate individual or takes messages
• Performs data entry from the transcription of surgical pathology and autopsy reports
• Maintains the inventory of office supplies
• Maintains records for the department according to all regulatory agencies and departmental policies and procedures
• Maintains records of journals and books contained in the Pathology Library
• Sends out surgical specimens for special testing and records information
• Opens and distributes departmental mail daily
• Determines appropriate SNOMED and ICD9 codes for Pathology specimens
• Reports to Lead Pathology Secretary and Lab Administrator

Medical Secretary, Front Desk

• Coordinate patient care for assigned caseload
• Initiate and revise individual plans of care as patient status changes
• Administer prescribed medications and treatments
• Communicate with physicians regarding patient needs and changes in condition
• Attend regular case conferences and team meetings
• Complete and document required assessments and notes in a timely manner

Physical Therapist, Team Resource

• Manage front desk operations in a healthcare setting
• Assist patients with scheduling and inquiries
• Maintain patient records and ensure smooth office workflow