Patient Service Specialist, Whitman Primary Care Call Center

Boston Medical Center•Whitman, MA

59d•$17 - $24

About The Position

Under the direction of the Practice Manager, the Patient Service Specialist is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).

Requirements

High school diploma and at least two years of experience as a Medical Secretary, or equivalent combination of education and experience, required.
Excellent customer service, communication, and interpersonal skills required.
Ability to work independently with little supervision.
Microsoft Office, Word, Excel, and Outlook.

Nice To Haves

Responsibilities

Answer calls and routes telephone calls appropriately; take messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information. Provide routine information to callers and gives only authorized advice from providers.
Own a practice workflow selected by manager (e.g., pre-visit planning, workflow dashboard management, charge entry, claim management, clinical inbox management)
Create patient cases and document telephone calls and messages into Athena or other EMR.
Schedule patient appointments and appropriate testing for patients as requested, including scheduling specialty appointments/testing as required. Follow scheduling notes and direct schedules patient visits in other BMC practices as advised.
Register patients in EMR and verifies information including demographics and obtain accurate health insurance information. Perform pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility. Obtain prior authorizations and/or insurance referrals as per practice need.
Collect required insurance co-pays from patients including any prior balances.
Perform outreach to select patient groups as directed for patient care and quality measurement/guidelines.
Place administrative supply orders.
Follow up with providers on missing slips and creates claims in the medical record system.
Work assigned revenue cycle buckets as directed.
Manage and process invoices as directed with Accounts payable.