Patient Access Representative II

Position Summary The incumbent 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 (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). Position Patient Access Representative II Department Primary Care Clinic Schedule Full Time Essential Responsibilities / Duties Focuses on one or more of the following areas, and provides support as needed to optimize daily flow: Charge entry Batch controls Billing (TES) edits Hold bill edits Charge reconciliations Billing and managed care functions (including responding to billing inquiries, corresponding with insurance carriers, and investigating discrepancies, etc.). Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and/or presentations. Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & managers’ administrative appointments, answering departmental calls, credentialing documents, etc. In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department including, but not limited to: Reception & customer service Creating or verifying Master Patient Index (MPI) Registration demographics Visit management Appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.) Insurance/coverage verification Co-payment collection Front-end review and correcting registration & insurance edits Pre-authorization, referral coordination and referral reconciliation Referral work lists Provides a variety of administrative duties in support of the practice (such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc). Adheres to all of BMC’s RESPECT behavioral standards. Job Requirements Education HS/GED plus 3+ years relevant experience. Bachelors degree or Associates plus 1 year relevant experience Experience Experience with medical billing or similar setting preferred. Knowledge and Skills Excellent English communication skills (oral and written) and interpersonal skills are required to interact with internal and external contacts in a courteous and patient focused manner. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Must be able to maintain strict confidentiality of all personal/health sensitive information. Ability to effectively handle challenging situations and to balance multiple priorities. Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet is required. Experience with standard hospital registration & billing systems or ability to learn such systems is also required. Compensation Range $17.07- $23.80 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE This range is based on Boston‑area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. #J-18808-Ljbffr