Patient Services Coord. II
Boston, MA 
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Posted 14 days ago
Job Description
Description

GENERAL SUMMARY/ OVERVIEW STATEMENT:

This position is the point person for Front Desk operations in a Vascular Surgery clinic with highly variable volume and with patients who are often very ill. Given this, the Front Desk PSC II must be resilient, patient, have a high degree of emotional intelligence and compassion. Looking for someone with excellent Epic skills, a real understanding of the need to communicate changes or concerns with administrative and clinical team in a timely manner, and a deep commitment to outstanding customer service. This role is well positioned for growth and advancement within the department.

Under general supervision, provides administrative support to a physician, medical practice or clinic for patient care and administrative activities. Works with the physician, staff members and management to ensure a quality-based, customer-oriented flow of work. Utilizes discretion and judgment to organize priorities, complete tasks and handle confidential patient information. Performs a wide range of administrative tasks to support a medical office, including schedules patient appointments, procedures and diagnostic testing, obtaining referrals, pre-authorizations and pre-determinations as needed; provides patient reception, educates patients prior to procedures, prepares consultation letters, notes, correspondence and manuscripts; performs photocopying, faxing, filing and answering telephones.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

* Greet patients in a professional, business-like manner.

* Registers and/or updates demographic, PCP, insurance and other key information elements for all patients seen within the practice. Ensures that all demographic data in the patient medical record is current and complete, referring new and existing patients to the Registration and Referral Center as needed to enable full registration to occur.

* Check in and check out patients as they arrive in a courteous manner.

* Schedule, re-schedule and cancel patient appointments both internal and external to the practice using Epic; may include scheduling for more than one facility. Review key registration elements with patients during time of scheduling.

* Place reminder calls/emails to patient 1-2 days before scheduled office visits as required. Send out confirmation/reminder letters in advance of appointments when needed.

* Answers telephone, triages calls, takes accurate and detailed messages using professional and courteous customer service techniques. Maintains confidentiality and privacy consistent with HIPAA guidelines.

* Consistently ensures referral forms are obtained from patients or primary care physician's office prior to patient's office visit; when needed obtains additional forms such as missed referral and missed appointment fee. Coordinates, tracks and decrements referrals as needed. Creates and sends no show letters.

* Performs all duties related to the Revenue Enhancement activities of the practice, including but not limited to co-pay collection, registration verification, encounter form reconcilement etc.

* Arranges for inside and outside referrals for physician office appointments and schedule as appropriate through the internal referral system.

* Provides basic information and instructions to patients regarding the practice and the Hospital. Arranges for transport interpreter and other services as required by the patients.

* Prints or types day sheet for patient office hours and procedures according to needs of physician.

* Refers patients to Patient Financial Services for financial counseling as appropriate.

* Collects co-pays from patients for the appropriate managed care plans and process co-pays for deposit. Reconciles cash collection through Epic or manually according to MGPO guidelines.

* Reconciles encounter forms to the daily schedule, tracks and follows up on outstanding encounter forms.

* Copies/files/scans/purges all patient related material in accordance with practice requirements, in an accurate and timely manner. Ensures confidentiality is maintained.

* Faxes all materials in accordance with practice requirements.

* Receives sorts and delivers mail to the appropriate staff.

* Retrieves medical records prior to patient office hours; Keep patient charts neat and orderly ensure that all necessary laboratory and radiological test results and medical records are obtained, from within and outside of MGH, and properly filed prior to patient's office visit. Ensures records are available for physician needs e.g. signature, billing, etc.

* Maintains knowledge and skill in the use of appropriate electronic systems to obtain and provide information. Monitors and uses systems to execute tasks, such as wait list, in basket, incoming and outgoing referrals.

* Distributes patient information, maps, etc. prior to patient appointments.

* Answers patient/family questions regarding appointments, surgical procedures, and pre-operative instructions as appropriate.

* Checks-out patients as they exit exam rooms.

* Accurately records information on day sheet according to needs of physician.

* Schedules follow-up appointments and laboratory or radiology testing in a timely and courteous manner; prepares appropriate requisition/paperwork; ensures that any necessary follow-up is scheduled at the appropriate time in the future. Print after visit summer report for patients.

* Re-schedules any cancelled appointments in a timely manner and mail cancelled appointment letters to patient.

* Book procedures complete all paperwork for vein marking, procedures, and post-op appointments. Verify if compliance visit is necessary, if so, book to ensure authorization by insurance company. Assist MGH when necessary by helping with last minute prescriptions and booking post-op appointments for patients in Stoneham when no one is available in Boston (Monday holidays).

* Obtain preauthorization, predetermination for ALL procedures being submitted to insurance. Input all authorizations into the computer. Handle any issues that arise and arrange peer to peer review if necessary. Keep patient informed if there is a problem with insurance. Let patients know if they have a deductible or if a deposit is due. Send paperwork to patient to let them know when their appointments are, restrictions pre & post procedure, prescriptions that need to be taken, and insurance waivers to be signed.

* Educate patients on the importance of compliance for the insurance companies to avoid delays in scheduling procedures and payment of services.

* Send prescriptions to pharmacy or to patient for all procedures, or any prescription as needed by physicians, send prescription for compression hose when necessary.

* Maintain procedure cancellation list for all physicians and fill any cancellations as they arise to ensure a smooth flow to their schedule.

* Verify the procedure note after the procedure has been completed to confirm that the procedure done is what was booked and approved to avoid a billing issue.

* Responds to requests from physicians' offices, family, or government agencies for letters of medical necessity, letters to schools, copies of medical records, etc. as necessary.

* Interacts in a courteous manner with physicians, nurses, and administrative staff within and outside of MGH to coordinate care of patients, obtain referrals, provide feedback, answer questions, etc.

* Cross covers other staff members, e.g. breaks, lunches, vacations, during variations in work flow as needed.

* Participates in periodic staff meetings or other departmental meetings.

* May order office and clinical supplies and forms, stamps, etc. as needed.

* Perform/participate in special projects as may arise from time-to-time.

* Performs all other related tasks which would facilitate the flow of patients through the practice, or which would enhance the quality of service to patients.

Qualifications

QUALIFICATIONS:

* High School Diploma or GED required. Secretarial Certificate or Associate's Degree preferred.

* Minimum of 2 to 4 years of secretarial experience strongly preferred. Experience in a healthcare setting helpful.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

* Exceptional computer skills (including word processing, database, electronic mail, internet, and spreadsheets) required. Knowledge of IDX and other systems at a level sufficient to perform job.

* Good command of English language, including medical and scientific terminology.

* Exceptional organizational skills and the flexibility to handle multiple tasks and deadline pressures.

* Ability to work independently or in a team environment.

* Excellent interpersonal and customer service skills; ability to solve problems.

* In-depth understanding of all pertinent medical insurances, managed care and patient financial services.

* Is knowledgeable and compliant in all hospital, State and Federal regulatory requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission (JC), and Health Insurance Portability and Accountability Act of 1996 (HIPAA).

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.

Primary Location: MA-Boston-MGH 15 Parkman
Work Locations:
MGH 15 Parkman
15 Parkman Avenue
Boston 02114
Job: Administrative Support
Organization: Massachusetts General Hospital(MGH)
Schedule: Full-time
Standard Hours: 40
Shift: Day Job
Employee Status: Regular
Recruiting Department: MGH Vascular Surgery
Job Posting: Apr 9, 2024

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
2 to 4 years
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