Patient Access Representative II

Mass General BrighamSomerville, MA
Remote

About The Position

Under the direction and supervision of leadership, the Patient Access Representative is responsible for registration, scheduling of appointments and training. The Coordinator will work with patients, medical office staff, clinicians and others in obtaining and recording the necessary information to ensure an efficient and effective patient and financial flow for ambulatory, surgical and inpatient visits.

Requirements

  • Must possess a high school diploma or GED.
  • Must complete at least one year as a Patient Access Coordinator.
  • Must be able to read and write fluently in English.
  • High volume of telephone work with patients, clinical staff and colleagues.

Nice To Haves

  • Spoken languages other than English is a plus.

Responsibilities

  • Ensures the integrity of the data in the hospital’s information system, Epic, with respect to patient demographic, health insurance and appointment information.
  • Responsible for scheduling and registering.
  • Review and follow clinical guide instructions to effectively schedule appointments in provider schedules based on diagnosis and specialty.
  • Delivers outstanding customer service while answering a high volume of incoming calls.
  • Verifies patient health insurance using various methods including websites and NEHEN.
  • Applies knowledge of contracted health insurance participation to ensure accurate appointment scheduling.
  • Collaborate with medical office staff to ensure a positive and effective patient experience.
  • Serves as a resource for patients and others with questions regarding registration, health insurance eligibility and benefits.
  • Accurately reviews and assesses coordination of benefit information.
  • Documents accurate information on all patient accounts to ensure an effective workflow throughout the organization.
  • Responsible for resolving registration-related edits within various work queues.
  • Serve as a registration, referral and authorization resource for patients and colleagues.
  • Demonstrates ability to handle difficult situations by using effective problem solving skills.
  • Collaborates with colleagues to ensure a positive and effective patient experience.
  • Demonstrates ability to work independently and as part of a team in a fast paced environment with constant interruption.
  • Flexible availability to accommodate work coverage requests.
  • Able to accurately type at least 40 words per minute.
  • Relates effectively to various types of customers in a professional and courteous manner.
  • Utilizes supervisor or manager to resolve issues/concerns as needed.
  • Attends and participates in departmental meetings.
  • Adhere to all HIPAA regulations and patient confidentiality guidelines.
  • All other duties as assigned.

Benefits

  • Comprehensive benefits
  • Career advancement opportunities
  • Differentials
  • Premiums
  • Bonuses as applicable
  • Recognition programs
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