The Patient Services Coordinator II under general supervision provides administrative support to health care providers in a highvolume ambulatory setting functioning as the primary interface between the patient and the providers. The emphasis is placed on the ability to organize priorities complete tasks manage confidential patient information schedule patient appointments diagnostic testing referrals and other managed care related issues. Serves as an overall resource person for support staff.Performs all duties that are the responsibility of a Patient Service Coordinator IPerforms all checkin and out functions as outlined by the MGH/MGPO Front Desk Standards of Operations.Provides support and information to providers to problem solve and manage complex administrative patient issuesPerforms all other related tasks which would facilitate the flow of patients through the practice or which would enhance the quality of service to patients.Works on special projects as directedPerforms the daily management of encounter form processing and reconcilement.Ensures the completeness of all forms and performs basic ICD9 coding as required to complete visit encounter forms for processingUnderstands all HMO Managed Care and other Third Party Insurers. Functions as a resource for patients around managed care plans insurance and referral issues with an ability to perform electronic insurance verification.Understands financial services and selfpay resources and provides patients with information as needed.Triages and manages more complex telephone calls utilizing courteous customer service skills.Maintains confidentiality and privacy which is consistent with HIPAA guidelines.Completely performs and is a resource to other team members in all revenue enhancement activities including but not limited to registration verification copayment collection cash management encounter form reconcilement etc.Schedules patient appointments and referrals for specialty visits and diagnostic testing as required. Coordinates the scheduling of diagnostic testing.Coordinates and tracks referral appointments and visits for decrementation.Provides cross coverage for other Practice staff members for absences vacations etc. and during variations in workflow as neededAssists with training and orientation of new staff where applicable. This is a 20 hour/week position.Shifts for this role are:Monday through Thursday from 4:30 pm to 8:30 pm Saturday from 8:30 am to 12:30 pmHigh school diploma or equivalent required.Minimum of 3 years secretarial experience or equivalent in a medical or health care related settingKnowledge of computer skills necessary to use appropriate modules ofCadence electronic medical record modules EOV CRMS ROE Patient Tracking Patient Gateway REVADULT MUSE andOutlook.Good command of the English language including medical terminologyExceptional organizational skills flexibility to manage multiple tasks and the accurate attentive to details.Ability to work independently or within a team environmentExcellent and effective interpersonal and communication skillsDemonstrated ability to work effectively and courteously with various groups of patients staff and providers.Demonstrated ability to problem solves and functions as a resource to other members of the team and resolve complex issues on behalf of the providers and the patients.Demonstrated indepth understanding of managed care and all other pertinent insurance/medical coverageDemonstrated knowledge of HIPAA Confidentiality and Privacy PoliciesDemonstrated understanding of Disaster protocols to include: fire safety and code calls per the mandatory training as outlined by MGH and Joint Comissionguidelines. Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.
Required Experience:
Chief