Patient Access Services Coordinator

Site: Cooley Dickinson Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,00 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. Cooley Dickinson's VNA & Hospital is also a vital part of our network, providing home-based services through-out Hampshire and Franklin counties.

Job Summary
The Patient Access Services Coordinator is responsible for performing various duties involved in admitting in-patients, out-patients, emergency patients, and clinic patients. This includes cashiering and pre-certification verification, acting as a custodian of patient valuables and safekeeping, maintaining petty cash fund, assisting in the resolution of admission, billing, or other problems related to the collection of an account balance, as well as maintaining Patient Access Services Department records and statistics.

Qualifications

ESSENTIAL JOB FUNCTIONS:

• Interview incoming patients, or their representative, to obtain all pertinent and financial information required for the proper preparation of all forms and records. Obtain required signatures on the financial agreements form.
• Perform admitting duties and register patients via hospital computer system. Enter daily orders/charges via the Order Entry System on each outpatient and inpatient as required. Receive orders from patient care units and respond accordingly.
• Assign patients to a room based on diagnosis, precautions, and type of accommodations available or requested. Escort or arrange to have patient transported to appropriate room. Transfer and discharge patients as requested by Nursing Service.
• Perform scheduling duties. Receive referral information from patients, physicians, and therapists. Schedule patients according to current systems and keep all systems and involved parties up to date throughout each day. Track cancellations and no-shows.
• Interact effectively with medical and nursing staff in the Emergency Department in order to gather correct, complete data necessary to ensure that clinical and fiscal responsibilities are facilitated for both the patient and the Hospital. Follow manual procedures when computer system is not functioning properly.
• Accept pre-admission orders from physicians either in writing or orally. Schedule pre-admission testing in accordance with Hospital regulations and guidelines.
• Schedule all elective admissions. Notify physician's office that an admission type may be inappropriate according to insurance guidelines. Alert the physician's office when prior approval is needed for a patient. Schedule necessary pre-admission appointments and patient assessments.
• Call patients at home to verify information prior to admission and call physician's office if a patient has not arrived for his/her pre-admission visit. Visit patient(s) or family on Hospital unit if necessary to complete data.
• Stay current with new admission regulations of the many public and private insurance companies which patients carry such as Medicare pre-admission approval guidelines, Master Health Plus prior approval, and others.
• Recognize and take action when a patient is scheduled inappropriately or does not follow necessary procedures so as not to leave the Hospital at a financial risk. Contact an insurance plan for authorization, if necessary, prior to admission. Determine which insurance plan is to be billed as primary or secondary.
• Explain over the phone and in person, hospital and insurance regulations relating to surgery, visiting hours, charges, pre-admission testing requirements, clinic appointment verification, and other related issues to patients as necessary. Listen to complaints and concerns of patients and the public, assisting to solve problems if possible and escalating to a supervisor when necessary.
• Transmit required information to appropriate departments. Use phone system to page physicians and technologists and park calls as needed. Utilize Keyfile system for faxing reports to physician's offices online. Utilize optical imaging system to retrieve radiology reports.
• Provide patient information in accordance with regulations governing divulgence of information, such as providing ambulance personnel with necessary information.
• Distribute federal and state-mandated information to patients.
• Verify benefits on all designated patient types. When necessary, assist with pre-certifications with insurance carriers. Notify patients and/or appropriate medical personnel of outcome.
• Notify insurance carriers of admissions, observations, or other patient visits as required.
• Receive payments from patients or their representative. Assist patients with short form Free Care applications.
• Post and total all Hospital receipts in standard Cash Receipt Journals. Balance cash against receipts. Prepare bank deposits. Maintain petty cash. Act as a custodian of patients' valuables for safekeeping.
• Maintain confidentiality of all patients' records and data. Interface with medical records department as required based on department, hospital, and patient care needs.
• Maintain census statistics and index of assigned and vacant beds.
• Requisition office supplies and forms when necessary.
• When triage nurse is not on duty, prioritize the admitting needs of patients. Alert medical personnel of patients needing immediate attention.
• Provide coverage for extra shifts in the case of an unexpected absence of a staff member or for vacation coverage to provide coverage for patient care needs. Work a flexible schedule as needed and be able to work in other satellite facilities such as Amherst. Regular and reliable job attendance is an essential job function.
• Maintain established hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, safety, compliance and environmental standards.
• Meet annual competency and retraining requirements.
• Attend meetings as required.
• Perform other functions/duties as requested.

Additional Job Details (if applicable)

MINIMUM REQUIREMENTS:

• High school diploma or equivalent required
• One (1) to three (3) years administrative and in-person customer service experience required, preferably in a health care setting; patient access services experience preferred.
• Familiarity with and understanding of hospital admissions, patient account systems, and major health insurers and general coverage issues preferred
• Previous cashiering experience preferred
• Demonstrated typing proficiency, personal computer, and CRT experience required; Enterprise Scheduling System experience preferred
• Demonstrated interpersonal, oral and written communication skills required

Remote Type

Onsite

Work Location

30 Locus Street- LAND

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Rotating (United States of America)

Pay Range
$19.42 - $27.74/Hourly

Grade
3

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

1910 Cooley Dickinson Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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