Patient Services Coordinator II / 20 Hours / Day Shift / MGH Broadway Primary Care at Massachusetts General Hospital(MGH)

Posted in Other 11 days ago.

Location: Revere, Massachusetts





Job Description:


  • Ability to perform all duties and responsibilities of a Patient Services Coordinator, Level I, as well as:




  • Performs all check-in and check-out functions, as outlined by the MGH/MGPO Front Desk Standards of Operations.




  • Assists in the orientation and training of new staff, to front desk procedures and best practices.




  • Provides support and information to providers to problem-solve and manage complex administrative patient issues.



  • Performs the daily management of the billing through EPIC.



  • Understands all HMO, Managed Care and other Third Party Insurers. Functions as a resource for patients regarding managed care plans, insurance, and referral issues, with an ability to perform electronic insurance verification.



  • Understands financial services and self-pay resources and provides patients with information as needed.



  • Triages and manages telephone calls, utilizing courteous customer service skills. Ensures that calls and/or messages are directed to and received by provides and support staff.



  • Maintains confidentiality and privacy consistent with HIPAA guidelines.



  • Completely performs, and is a resource regarding, all revenue enhancement activities including, but not limited to, registration verification, co-payment collection, cash management, etc.



  • Schedule patient appointments and create referral shells for specialty visits. Schedule diagnostic testing and requests prior authorization as required.



  • Enroll patients in Patient Gateway



  • Coordinates, tracks and decrements referral appointments appropriately.



  • May handle inventory maintenance and the ordering of supplies

    • Ability to perform all duties and responsibilities of a Patient Services Coordinator, Level I, as well as:




    • Performs all check-in and check-out functions, as outlined by the MGH/MGPO Front Desk Standards of Operations.




    • Assists in the orientation and training of new staff, to front desk procedures and best practices.




    • Provides support and information to providers to problem-solve and manage complex administrative patient issues.



    • Performs the daily management of the billing through EPIC.



    • Understands all HMO, Managed Care and other Third Party Insurers. Functions as a resource for patients regarding managed care plans, insurance, and referral issues, with an ability to perform electronic insurance verification.



    • Understands financial services and self-pay resources and provides patients with information as needed.



    • Triages and manages telephone calls, utilizing courteous customer service skills. Ensures that calls and/or messages are directed to and received by provides and support staff.



    • Maintains confidentiality and privacy consistent with HIPAA guidelines.



    • Completely performs, and is a resource regarding, all revenue enhancement activities including, but not limited to, registration verification, co-payment collection, cash management, etc.



    • Schedule patient appointments and create referral shells for specialty visits. Schedule diagnostic testing and requests prior authorization as required.



    • Enroll patients in Patient Gateway



    • Coordinates, tracks and decrements referral appointments appropriately.



    • May handle inventory maintenance and the ordering of supplies

      • Ability to perform all duties and responsibilities of a Patient Services Coordinator, Level I, as well as:




      • Performs all check-in and check-out functions, as outlined by the MGH/MGPO Front Desk Standards of Operations.




      • Assists in the orientation and training of new staff, to front desk procedures and best practices.




      • Provides support and information to providers to problem-solve and manage complex administrative patient issues.



      • Performs the daily management of the billing through EPIC.



      • Understands all HMO, Managed Care and other Third Party Insurers. Functions as a resource for patients regarding managed care plans, insurance, and referral issues, with an ability to perform electronic insurance verification.



      • Understands financial services and self-pay resources and provides patients with information as needed.



      • Triages and manages telephone calls, utilizing courteous customer service skills. Ensures that calls and/or messages are directed to and received by provides and support staff.



      • Maintains confidentiality and privacy consistent with HIPAA guidelines.



      • Completely performs, and is a resource regarding, all revenue enhancement activities including, but not limited to, registration verification, co-payment collection, cash management, etc.



      • Schedule patient appointments and create referral shells for specialty visits. Schedule diagnostic testing and requests prior authorization as required.



      • Enroll patients in Patient Gateway



      • Coordinates, tracks and decrements referral appointments appropriately.



      • May handle inventory maintenance and the ordering of supplies

        • Ability to perform all duties and responsibilities of a Patient Services Coordinator, Level I, as well as:




        • Performs all check-in and check-out functions, as outlined by the MGH/MGPO Front Desk Standards of Operations.




        • Assists in the orientation and training of new staff, to front desk procedures and best practices.




        • Provides support and information to providers to problem-solve and manage complex administrative patient issues.



        • Performs the daily management of the billing through EPIC.



        • Understands all HMO, Managed Care and other Third Party Insurers. Functions as a resource for patients regarding managed care plans, insurance, and referral issues, with an ability to perform electronic insurance verification.



        • Understands financial services and self-pay resources and provides patients with information as needed.



        • Triages and manages telephone calls, utilizing courteous customer service skills. Ensures that calls and/or messages are directed to and received by provides and support staff.



        • Maintains confidentiality and privacy consistent with HIPAA guidelines.



        • Completely performs, and is a resource regarding, all revenue enhancement activities including, but not limited to, registration verification, co-payment collection, cash management, etc.



        • Schedule patient appointments and create referral shells for specialty visits. Schedule diagnostic testing and requests prior authorization as required.



        • Enroll patients in Patient Gateway



        • Coordinates, tracks and decrements referral appointments appropriately.



        • May handle inventory maintenance and the ordering of supplies

          • Ability to perform all duties and responsibilities of a Patient Services Coordinator, Level I, as well as:




          • Performs all check-in and check-out functions, as outlined by the MGH/MGPO Front Desk Standards of Operations.




          • Assists in the orientation and training of new staff, to front desk procedures and best practices.




          • Provides support and information to providers to problem-solve and manage complex administrative patient issues.



          • Performs the daily management of the billing through EPIC.



          • Understands all HMO, Managed Care and other Third Party Insurers. Functions as a resource for patients regarding managed care plans, insurance, and referral issues, with an ability to perform electronic insurance verification.



          • Understands financial services and self-pay resources and provides patients with information as needed.



          • Triages and manages telephone calls, utilizing courteous customer service skills. Ensures that calls and/or messages are directed to and received by provides and support staff.



          • Maintains confidentiality and privacy consistent with HIPAA guidelines.



          • Completely performs, and is a resource regarding, all revenue enhancement activities including, but not limited to, registration verification, co-payment collection, cash management, etc.



          • Schedule patient appointments and create referral shells for specialty visits. Schedule diagnostic testing and requests prior authorization as required.



          • Enroll patients in Patient Gateway



          • Coordinates, tracks and decrements referral appointments appropriately.



          • May handle inventory maintenance and the ordering of supplies














Qualifications

High School diploma or GED Equivalent required


Administrative experience (preferably in a Healthcare setting) required




  • Knowledge of computer skills necessary to use appropriate modules of EPIC, electronic medical record modules, US Bank and Microsoft Outlook.




  • Exceptional organizational skills, flexibility to manage multiple tasks with accuracy and attention to detail.




  • Ability to work independently, as well as in a team environment.




  • Excellent and effective interpersonal and communication skills.




  • Knowledge of spreadsheets and database systems




  • Good command of English language including some medical terminology




  • Ability to prioritize work




  • Demonstrates ability to problem solve and functions as a resource to other members of the team, and resolve complex issues on behalf of the providers and patients.




  • Demonstrates in-depth understanding of managed care and all other pertinent insurance/medical coverage.




  • Demonstrated understanding of disaster protocols to include fire, safety and code calls, pursuant to the mandatory training requirements outlined by MGH and JCAHO guidelines.



Demonstrated knowledge of HIPAA Confidentiality and Privacy Policies



EEO Statement

Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.
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