GENERAL SUMMARY/ OVERVIEW STATEMENT:
Brigham and Womens Hospital is dedicated to:
serving the needs of our local and global community
providing the highest quality health care to patients and their families
expanding the boundaries of medicine through research
educating the next generation of health care professional
Brigham and Womens Hospital is committed to putting every Patient First. Every employee plays a role in providing a positive impact on patients and the care they receive at Brigham and Womens Hospital. Your work will be distinguished by the delivery of highquality and safe patient care respect and dignity in all interactions with patients families and colleagues and by customer service excellence.
All employees are expected to embrace this commitment and demonstrate behavioral competencies in the following areas:
People: Focus on serving the community through collaboration and respect
Self Management: Accountability professionalism and commitment to growth and development
Organization: A commitment to quality service and exceptional performance
Meeting these expectations is key to the success of your department and the organization.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Perform duties under moderate supervision with intermediate to advanced proficiency in administrative skills.
Act as a super user for scheduling registration and billing systems. Provide training and assistance to others in these areas.
May perform more complex or specialized functions (i.e. surgical scheduling) at highest competency level.
Utilize knowledge of HMOs managed care and other third party insurers and troubleshoots insurance issues as appropriate.
Assist with training and orienting staff as needed.
Provide cross coverage as needed.
Assist with special projects as directed.
Follow HIPAA guidelines for the management of patient privacy and confidentiality.
Other duties as assigned
JOB SPECIFIC DUTIES AND RESPONSIBILITIES:
1. Answers Incoming Phone Calls: Following Departmental and Practice procedure answers incoming telephone lines dispositions and triages calls per Department and Practice standards.
2. Documentation Requirements: Following Departmental and practice procedure writes and responds to clinical messages accurately and with attention to detail.
3. Prescription Renewals: Following Departmental and practice procedure enters refill request information accurately ensuring the physician has all of the required information to approve the refill request.
4. Scheduling: Performs scheduling both via telephone and at checkout to include initial patient appointments and followup appointments. Integrates waitlisted patients into the system. Works with multiple disciplines both internal and external to the Hospital to book ancillary tests for patients. Schedules patient appointments across Neurology Divisions.
5. Billing: Performs billing functions to include: working closely with PCP offices and patients acquires referrals and as needed prior authorizations prior to the scheduled visit. Assists with the process of Billing Customer Service and patient triage to appropriate sources for billing issues and ultimate resolution. Performs Cash Collection activities to be in line with Hospital standards. Ensures that Encounter Forms are complete confirms out appointments for billing in a timely and efficient manner.
6. Administration: Keeps inventory of practice supplies. Requests supplies of the Ambulatory Practice Manager. Processes sorts and distributes mail.
7. Communication: Maintains good communication with Patients Practice Manager Operations Manager colleagues physicians and others. Keeps Practice Manager apprised of ongoing challenges and issues and steps taken towards resolution. Responds to requests for change that will improve practice conditions for physicians by discussing them with the Practice Manager. Performs daily functions in a manner in which is in line with Departmental and Hospital Customer and Safety Standards.
8. Patient Reception: Checks in patients. Greets and checks in patients for their Neurology appointments. Ensures that the patients have registered with the Hospital. Assists with the process of coordinating patient information in preparation for the appointment. Collects and documents copays. Assists with the process of allocating physician exam rooms. Performs faxing and copying duties as required by the patient practice or physician. Ensures that all additional forms are completed by the patient prior to their scheduled visit.
9. Acquires all relevant outside clinical data: as requested prior to the scheduled appointment ensures receipt of all outside medical records and imaging/other studies
10. Other: Performs other duties and tasks as requested by the Practice Manager to ensure efficient overall performance of the Practice(s).
QUALIFICATIONS:
Level of education required:
Minimum of a high school diploma or GED.
Bachelors degree preferred.
Work experience required:
Minimum one year applicable work experience required.
Some additional training in office systems or other post high school education preferred.
Previous experience in a customer service role strongly preferred.
Previous experience in a large busy ambulatory practice setting strongly preferred.
Familiarity with medical terminology preferred.
Previous experience with health insurance preferred.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
- Exceptional interpersonal skills including the ability to establish and maintain effective relationships with patients physicians management staff and others.
- Demonstrated customer service skills including the ability to use appropriate judgment independent thinking and creativity when resolving customer issues.
- Ability to effectively handle challenging situations and to balance multiple priorities.
- Excellent verbal communication skills.
- Excellent written communication skills
- Ability to use personal computers and select software applications.
- Ability to work successfully as a member of a team
Technical skills required:
Knowledge of practice operations and standards.
Understanding of procedures including filing copying scanning printing and faxing.
Phone skills: Ability to use phone system (answer and screen calls put on hold) handle more complex calls and give more detailed information.
Verbal skills: Ability to interpret information as appropriate answer more complex questions in the most professional manner and communicate in a professional courteous clear and concise manner.
Organization Skills: Ability to manage work processes in a neat and orderly way and to sort and alphabetize. Ability to manage multiple tasks effectively follows established protocols and work within systems.
Writing Skills: Ability to correspond and communicate with others clearly and effectively in writing (via email memo or interoffice note) and to take complete and accurate messages.
System Skills: Ability to type accurately and enter data at an intermediate level. Advanced computer skills. Ability to use all applicable applications at highest competency level.
Understanding of the appropriate use and importance of related forms.
Intermediate understanding and use of medical terminology.
Intermediate comprehension of insurance types and referral process.
Intermediate comprehension of registration and fiscal information.
Knowledgeable and compliant with all hospital State and Federal requirements (where applicable to job performance) including policy and procedures with The Joint Commission and HIPAA.
BWH Behavioral Competencies
1. People: Focus on serving the community through collaboration and respect
Inclusiveness : Maintain an environment where individuals value and respect differences in all situations. Stand firm against intolerance and bias to create a welcoming environment and respect all individuals regardless of race gender identity ethnicity language sexual orientation age physical or mental ability religion socioeconomic status or national origin.
Work effectively with others who have diverse perspectives talents roles backgrounds and/or styles
Contribute to a positive team environment where differences are respected supported and are free from stereotyping and offensive comments
Be professional when approached about behaviors that might be perceived as disrespectful
Open Communication: The ability to effectively articulate and receive information in a clear concise and timely manner.
Practice active listening skills
Foster and maintain an environment that respects open dialogue differences of opinion as well as diverse communication styles
Ensure that information is shared in a clear accurate and timely manner using the appropriate communication method for your audience
Express oneself clearly and professionally in your verbal nonverbal written and electronic communication
Building Collaborative Relationships: Identifying opportunities and taking action to build relationships between ones area and other areas teams departments units or organizations to help achieve organizational goals.
Take initiative to support others and build productive relationships that will lead to a cohesive workplace
Interact effectively with other team members departments and customers to accomplish organizational goals
Organizational Awareness: Understand how ones own work affects the organization as a whole and demonstrate a commitment to the organizational goals.
Support and respect BWHs mission vision values and history
Understand and recognize how your individual role and department impacts the organization
2. Self Management: Accountability professionalism and commitment to growth and development
Embracing Change: Demonstrate adaptability and openness to organizational changes needed to improve effectiveness and goals.
Support and positively participate in organizational and/or job specific changes
Initiate appropriate action when change is needed
Be flexible and open to new ideas
Adapt to shifting priorities
Learning Oriented: Predisposed to pursue learning opportunities even outside own comfort zone one stays abreast of new tools and methods rising to add value and build challenge in current assignments.
Demonstrate openness to learning from successes and failures
Recognize and participate in learning opportunities
Seek and share best practices
Professionalism: Practice respect for self and others; and adhere to BWH standards policies and procedures at all times.
Adhere to BWHs Code of Conduct Guide to Ethical Standards policies and procedures
Align behavior with the organizational mission and values
Practice respect in accordance to the BWH standards
Demonstrate responsibility reliability and trustworthiness
3. Organization: A commitment to quality service and exceptional performance
Quality and Safety Focus: Responsible for meeting standards of performance or outcomes in a safe manner while avoiding risks.
Align job performance with quality and safety standards (e.g. The Joint Commission BWH and department specific standards)
Adhere to established policies and procedures
Take action to prevent errors
Identify and report adverse events errors and incidents
Efficiency and Performance Improvement: Systematic approach to improve performance by eliminating waste nonvalue added activities and variability in processes.
Participate in process and performance improvement by identifying analyzing and enhancing existing processes to achieve better outcomes
Maximize available resources to achieve performance measures; reduce waste rework and workarounds consistent with ones role
Problem Solving: Able to gather appropriate data and diagnose the cause of the problem before taking action; and if necessary develop alternative courses of action.
Recognize actual and potential problems and take appropriate action towards a solution
Offer assistance as needed when a potential problem situation is observed
Use good judgment to keep manager informed of problems or issues following department practice
Service Excellence: Focusing ones efforts towards anticipating meeting and exceeding the expressed and unexpressed needs or expectations of internal and external customers.
Apply service standards consistently to present a positive image of BWH to colleagues health providers patients families and visitors:
Engage with positive greetings and active listening
Empathize by expressing understanding
Educate throughout the information exchange
Enlist thoughts and ideas from others
4. General/Administrative Support:
Information Gathering: Identify and seek information needed to clarify a situation. Ask questions to discover the facts.
Identify specific information needed to clarify a situation or to make a decision.
Probe skillfully to get at the facts
Brigham and Womens Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race sex color religion national origin sexual orientation protected veteran status or on the basis of disability.