Schedule Details:

Scheduled Hours:

Shift:

Hours:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

II. Major Responsibilities:

1. Enters Lab, Radiology and basic ancillary service appointments to schedules. Coordinates the provision of multiple services to patients. Processes updates and corrections to patient insurance and demographic information, as well as obtains prior insurance referrals and authorizations. Collects patient liabilities prior to or on the date of service, as appropriate.
2. Obtains and enters into the computer-based patient registration/scheduling system, demographic, insurance and other related patient information.
3. Obtains and verifies patient insurance coverage and follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Follows up to correct discrepancies as required.
4. Telephones and/or notifies patient of appointment times. Provides patient with standard information regarding their personal preparation for scheduled procedures and services.
5. Mails patient information packets to patients.
6. Transcription of paper orders when applicable.
7. Assesses patients' financial needs and directs accordingly to financial counseling, and refers to appropriate person or area.
8. Provides a variety of related clerical duties, such as retrieving medical and other records, faxing, collating, typing, transcribing, taking and relaying messages, etc.
9. Maintains accurate and timely records, logs, charges, files and related information as required.
10. Collection of patient liabilities including deductibles, copays, coinsurances, self-pay payments, cosmetic procedure payments, and patient balances as appropriate, prior to or on the date of service.
11. Obtains patient and witness signatures for all paperwork, including but not limited to Consent to Treat, HIPAA, Privacy, Medicare Rights, Important Message for Medicare, Patient Rights, etc.
12. Reviews workqueues to ensure accurate and timely billing.
13. Monitors and maintains Patient Access and Revenue Cycle Work queues.
14. Maintains scheduling and/or registration accuracy rate of 97% or above.

Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars, and on-going training as required or directed.
3. Demonstrates use of Lean Methodology and Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Performs other similar and related duties as required or directed.

All Responsibilities are essential job functions unless otherwise noted.

III. Position Qualifications:
License/Certification/Education:

Required:
1. High School Diploma.

Preferred:
1. Associate or Bachelor's Degree in Business or Healthcare related field.

Experience/Skills:

Required:
1. Minimum of 1-2 years of data entry experience.
2. Proficient data-entry skills with attention to detail.
1. Must have computer skills that include use of Windows and the ability to navigate.
2. Strong customer service skills both verbal and written; with a variety of internal and external customers.
3. Demonstrated knowledge of medical terminology.
4. Ability to work in a high volume, team-oriented environment.
5. English speaking, reading and writing skills.

Preferred:
1. Experience in hospital admissions, insurance, billing, scheduling or telephone customer service.
2. Previous insurance verification and/or authorization.
3. Bilingual speaking, reading, and writing skills.

Unless certification is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.
Department-specific competencies, including age-specific competencies, and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with the position incumbents.

IV. Physical Demands and Environmental Conditions:
Work is considered light. Position requires work indoors in a normal office environment.
Holiday and/or weekend shift work, as well as after-hours coverage as required.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.