TMS Benefits Coordinator

At Northeast Health Services, a member of Transformations Care Network (TCN), we are committed to improving access to the highest-quality mental health care in our local communities. As a TMS Benefits Coordinator, you'll be an essential part of our clinical support team.

The individual in this position will be expected to provide exceptional customer service to make sure the highest quality work standards are achieved and maintained according to practice policies and procedures. Must be compassionate, dependable, organized, have good communication skills, multitask, and work well with other team members. We provide the highest quality of mental health care to patients at all phases of their mental wellness journey. The primary role of the TMS benefits coordinator member is to remotely oversee the daily requests for VOB’s, PA, Insurance email inbox, Interventional tracker updates, uploading documentation to individual charts, attend team meetings and supervisions, monitor any changes to insurance for the interventional services, Five 9 calls.

Key Responsibilities

• Investigate and communicate insurance coverage and verification of Benefits.
• Document all correspondence in EMR according to policy.
• Review requests for Prior Authorization, communicate any issues prior to submission to the team.
• Submit and resubmit prior authorizations as needed, communicate status of patients awaiting treatment with provider.
• Work with provider on peer to peer and appeals.
• Utilize Trakstar and adhere to timelines related to our external vendor Neurostar
• Answer incoming calls on Five 9 and disposition calls as needed.
• Update the patient charts, Interventional tracker, monitor and correspond through intake email, and team’s channels on a regular basis.
• Identify and report changes in insurances as they arise via submission of smart sheets.
• Perform additional duties as needed.
• Follows company policies and procedures as well as adhering to state and/or federal regulations.
  
  

Qualifications

• 1 or more years of medical office experience (Preferred)
• Knowledge of medical authorizations (Preferred)
• High School Diploma or GED
• Associate or Bachelor’s Degree (Preferred)
• Knowledge of medical terminology
• Understand and comply with HIPAA
• Excellent communication skills
• Ability to work well with a team and independently.
  
  

Explore The Advantages Of Joining Our Team

• Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
• Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize patient care.
• Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
• Play a pivotal role in reshaping behavioral health, with your efforts directly improving patient lives.
• Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
• Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents and assure your triumph in your role.
  
  

Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.