Administrative/Patient Services Coordinator

Summary:

• Work Mode: Onsite
• Location: Worcester
• This position requires flexibility to work an 8-hour shift scheduled between 6:00 AM and 8:00 PM, based on department needs.
• Shifts may vary Monday through Sunday, including rotating weekends.
• Availability for 1-2 Saturdays per month (typically 7:00 AM - 3:00 PM) is required.
• Holiday coverage is required (potentially every other holiday).
• During the first 3-4 weeks, candidates must be available to train on varying shifts.
• EPIC training will take place onsite in Worcester for the first two weeks (8:00 AM - 4:30 PM).

Responsibilities:

• Enter Lab, Radiology and basic ancillary service appointments to schedules.
• Schedule patients for treatment and services for multiple providers at multiple campuses.
• Coordinate the provision of multiple services to patients.
• Process updates and corrections to patient insurance and demographic information, as well as obtain prior insurance referrals and authorizations.
• Collect patient liabilities prior to or on the date of service, as appropriate.
• Arrange a variety of associated tests, procedures, and/or ancillary services according to established guidelines and specific criteria.
• Prioritize visits and services to foster efficient utilization of physician’s clinical staff, patient’s time, and facilities.
• Obtain and enter demographic, insurance, and other related patient information into the computer-based patient registration/scheduling system.
• Verify patient insurance coverage and follow guidelines established by insurers to ensure pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
• Notify patients of appointment times and provide standard information regarding their preparation for scheduled procedures and services.
• Mail patient information packets to patients.
• Transcribe paper orders when applicable.
• Assess patients’ financial needs and direct them to financial counseling as needed.
• Perform related clerical duties, such as retrieving medical records, faxing, collating, typing, and taking messages.
• Maintain accurate and timely records, logs, charges, files, and related information as required.
• Collect 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.
• Obtain patient and witness signatures for all paperwork, including Consent to Treat, HIPAA, Privacy, Medicare Rights, and Patient Rights.
• Review work queues to ensure accurate and timely billing.
• Monitor and maintain Patient Access and Revenue Cycle Work queues.
• Maintain scheduling and/or registration accuracy rate of ***% or above.

Requirements:

• Associate’s Degree in Business, Healthcare, or a related field.
• 2-3 years of experience in patient access, scheduling, registration, or a related healthcare role.
• Experience with EPIC (EMR system).
• Experience with insurance verification, prior authorizations, and patient financial collections.
• Ability to accurately manage patient demographics, scheduling, and multiple providers/services.
• Strong customer service, communication, and organizational skills.
• Ability to multitask and work efficiently in a fast-paced environment.

Preferred Skills:

• Bachelor’s Degree in Business, Healthcare, or a related field.

Benefits:

• No parking fees at this location.
• Dress code is business casual or scrubs (no crocs or open-toed shoes).