Pre-Registration Scheduling Specialist

Berkshire Health Systems • Pittsfield, MA

22h

About The Position

The Pre-Registration Scheduling Specialist handles pre-registration, insurance verification, and rescheduling for multiple departments, including physician offices within Berkshire Health Systems and Berkshire Faculty Services. The role provides customer service in accordance with Berkshire Health Systems standards and coordinates accurate information exchange with patients and physicians through inbound and outbound communication while following privacy guidelines.

The specialist determines the appropriate insurance coverage listed on patient accounts using verification programs, interprets payer eligibility responses, and supports Patient Accounts in preventing bad debt and billing denials. The position also involves entering accurate ICD-9 codes when scheduling or rescheduling, following federal medical necessity standards, completing registration and authorization or referral retrieval for outpatient testing and appointments, and performing mailing duties as needed. The specialist may also serve as a liaison to the departments supported, maintaining department knowledge and communication to assist with training, protocols, troubleshooting, patient communication, and service improvement.

Requirements

• High school graduate.
• Medical terminology required.
• Strong telephone and written communication skills.
• Demonstrated customer service focus.
• Basic computer skills and proven typing ability.
• Strong organizational skills and flexibility.
• Ability to speak English clearly.
• Ability to interpret eligibility responses, including those from Passport, REVES, BMC Healthnet, and HNE Direct.
• Ability to troubleshoot and maintain proper operation of business equipment.
• Ability to handle stressful situations calmly and rationally.
• Ability and willingness to train and assist in training new hires.
• Professional presentation and a courteous demeanor, including during difficult patient interactions.

Nice To Haves

• One year of clinical experience.
• Experience in a hospital environment.
• Knowledge of outpatient tests, procedures, and appointment types.
• Previous experience with hospital Meditech Scheduling and Admitting functions.
• Two years of college or equivalent work experience.
• Ability to speak and understand Spanish.

Responsibilities

• Perform pre-registration, insurance verification, and rescheduling for multiple departments and physician offices.
• Analyze patient or physician requests and coordinate accurate instructions and information exchange through inbound and outbound communication while following privacy guidelines.
• Identify the appropriate insurance coverage listed on accounts using one or more verification programs.
• Interpret payer eligibility responses to help prevent bad debt and billing denials.
• Enter accurate ICD-9 codes when scheduling and rescheduling, following federal medical necessity standards.
• Perform registration and retrieve authorizations or referrals for outpatient testing and appointments.
• Perform mailing duties for departments as needed.
• Maintain communication and in-depth knowledge of supported departments and serve as a departmental liaison, including assistance with training, protocols, troubleshooting, patient communication, and service improvement.
• Meet established productivity expectations despite interruptions and maintain a professional, courteous demeanor during difficult patient interactions.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED