Patient Services Coord. II
Patient Services Coord. II
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1 Vacancy
Job Description
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Monday - Friday
8:30am to 5pm
Previous prior authorization experience
Job Summary
The Patient Services Coordinator II under general supervision provides administrative support to health care providers in a high-volume 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.Qualifications
Responsibilities:
- Performs all check-in and -out functions as outlined by the MGH/MGPO Front Desk Standards of Operations.
- Submit prior authorizations to insurance company for medication and formula requests.
- Provides support and information to providers to problem solve and manage complex administrative patient issues
- Understands all HMO Managed Care and other Third Party Insurers. Functions as a resource for patients around managed care plans insurance and referral issues.
- Understands financial services and self-pay 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 co-payment collection.
- Schedules patient appointments for specialty visits and diagnostic testing as required. Coordinates the scheduling of diagnostic testing.
- Provides cross coverage for other Practice staff members for absences vacations etc. and during variations in workflow as needed
- Assists with training and orientation of new staff where applicable.
- Performs 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 directed.
QUALIFICATIONS:
- High school Diploma required
- Associates degree in Secretarial Science/Business or a Secretarial Training Certificate Program desirable
- Minimumof 3 years secretarial experience or equivalent in a medical or health care related setting
Skills/Abilities/Competencies:
- Knowledge of computer skills necessary to use appropriate modules of Epic electronic medical record modules and Microsoft Office products.
- Good command of the English language including medical terminology
- Exceptional organizational skills flexibility to manage multiple tasks and the accurate attentive to details.
- Ability to work independently or within a team environment
- Excellent and effective interpersonal and communication skills
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Employment Type
Full-Time
