Patient Service Specialist I

3 weeks ago

Foxboro, United States Boston Medical Center Full time

Location: Foxboro, MA
Hours:

  • This position is to function as a member of the administration team and complete assigned daily front end tasks to ensure smooth day to day operations in the BMCHS physician practice. The Patient Service Specialist must maintain a professional, positive manner when talking with patients in-person, over the phone, or via email.
Key Responsibilities
  • Answers calls and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information.
  • Schedules patient appointments and appropriate testing for patients as requested as well as follow up questions on testing.
  • Registers patients in EMR and verifies information including demographics and obtains accurate health insurance information. Conduct eligibility checks to ensure insurance is reflected accurately.
  • Collects required insurance co-pays from patients including any prior balances.
  • Follows scheduling notes and direct schedules patient visits in other BMCHS practices as advised.
  • Performs pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility.
  • Responsible to obtain prior authorizations and/or insurance referrals as per practice need.
  • Provides routine information to callers and gives only authorized medical advice from a provider.
  • Provides a high level of customer service to all new and existing patients of the practice.
  • Creates patient cases and documents telephone calls and messages into Athena or other EMR.
  • Performs outreach to select patient groups as directed for patient care and quality measurement/guidelines. Schedules specialty appointments/testing as required.
  • Performs work in EMR buckets as directed and per practice need.
  • Responsible to inform manager of administrative supply needs or assists with ordering.
  • Follows up with providers on missing slips and creates claims in Athena.
  • Responsible to work assigned revenue cycle buckets as directed.
  • Must be able to work independently with little supervision.
  • Adheres to BMHS policies.
  • Always uses discretion to ensure patient confidentiality.
  • Performs other duties as requested.
Skills
  • Strong customer service excellence expected.
  • Ability to multitask and prioritize responsibilities.
  • Excellent communication and interpersonal skills required.
  • Experience with EMR strongly preferred. (Athena a plus)
  • Experience with Microsoft Office, Word, Excel, and Outlook preferred.
Education & Experience
  • High School Diploma or equivalent required.

Equal Opportunity Employer/Disabled/Veterans

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