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When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.
Working in Patient Access and as a member of the Beth Israel Lahey Health (BILH) System Services team you can have a career that allows you to grow and advance while making a difference in peoples lives. We use a coordinated approach to delivering administrative and operational services across our entire healthcare system. By leveraging resources across the organization were able to provide highquality highvalue care to the patients and the communities we proudly serve. The Patient Access Representative ensures that the patient experience in accessing healthcare at BILH is efficient and welcoming and that patient confidentiality is respected and patient safety is preserved. Performs a variety of functions to support an accurate safe and customerfocused registration process either electronically telephonically or in person. The Patient Access Representative ensures that all proper patient financial and demographic information is obtained and processed so BILH is fully reimbursed for clinical services provided. The Patient Access Representative handles patient questions and requests accurately and efficiently ideally with firstcall resolution or by making appropriate referrals to other departments based on the original purpose of the question and any other questions or requests subsequently disclosed by the patient. Extensive training including Electronic Health Record (EHR) is provided. Our team works in a fastpaced collaborative environment helping our patients navigate their healthcare journey.Job Description:
Essential Duties & Responsibilities including but not limited to:
Registration:
1. Registers patients presenting for visits. Explains the registration process to patients and responds to patient questions.
2. Processes patient copayments coinsurance deductibles and balances due. Safeguards cash checks and receipts and reconciles cash drawer at the end of each business day. Assists patients with Kiosk checkin as needed.
3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.
4. Instructs patients and obtains signatures on consent forms financial forms and other documents required by the clinical department; distributes documents to patients; scans processes and records receipt of all documents collected during registration encounter.
5. Counsels patients regarding noncovered services obtaining signatures on Advance Notice Beneficiaries (ABNs) consents and waivers.
6. Monitors patient waiting area for a smooth efficient registration flow. Advises patients of potential delays and takes steps to ensure a pleasant patient experience.
7. Responds to patient concerns and potential patient safety issues accordingly. Recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk.
8. Assures a neat orderly registration desk and patient waiting area securing all confidential patient information.
Scheduling:
9. Initiates patient scheduling activities by prioritizing and accessing a variety of sources including patient phone calls and digital messaging orders scheduled order work queues.
10. Utilizes a variety of information sources to schedule reschedule and cancel patient appointments. Information sources include online questionnaires offline materials and subgroup searches.
11. Establishes working relationships with staff of assigned clinical departments. Understands and correctly applies unique clinical department scheduling protocols.
12. Remains current on scheduling protocols and applies judgment or seeks management assistance to ensure safe patient care when clinical department scheduling protocols do not meet patient needs.
13. Ensures all required key patient scheduling and registration information is captured and verified. Key information includes referring physician information insurance coverage demographics and contact information.
14. Identifies and communicates to Patient Access management issues that may impact the timeliness and accuracy of patient appointments and subsequent patient care.
15. Strictly follows confidentiality and equipment security and safeguarding guidelines when working in a remote setting. Maintains productivity quality and accuracy levels and communicates regularly with the Supervisor and Manager. PreRegistration:
16. Efficiently registers patients capturing and verifying all required information in order to identify the patient contact the patient and receive proper reimbursement for services on initial claim submission.
17. Ascertains creates and assigns the guarantor for each patient including personal/family relations workers compensation insurance third parties behavioral health or others as required.
18. Identifies records and verifies patient insurance coverage using realtime eligibility (RTE); reviews the insurers response to each verification request and takes appropriate action based on this response.
19. Applies the appropriate guarantor and insurance to each patient visit.
20. Communicates financial clearance status to patients. Advises patients of contract status selfpay status and payment responsibility and schedules patients with Financial Counseling as needed.
Minimum Qualifications:
Education: High school degree or equivalent. Associates degree preferred.
Licensure Certification & Registration: None
Experience: 13 years related work experience. Experience with computer systems required including webbased applications and some Microsoft Office applications which may include Outlook Word Excel PowerPoint or Access.
Skills Knowledge & Abilities: Able to work successfully in a fastpaced multitask environment where some independent decisionmaking is necessary. Able to process electronic information and data accurately and efficiently.
Preferred Qualifications & Skills:
Call Center and/or telephone customer service experience Strong typing skills 40wpm. Knowledge of medical terminology Bilingual written and verbal communication skills Familiar with EHR Software
Required Experience:
Unclear Seniority
Part-Time