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POST DATE 9/16/2016
END DATE 10/14/2016
JOB DESCRIPTIONAs a not-for-profit organization, Partners HealthCare is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Womens Hospital and Massachusetts General Hospital, Partners HealthCare supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
Were focused on a people-first culture for our systems patients and our professional family. Thats why we provide our employees with more ways to achieve their potential. Partners HealthCare is committed to aligning our employees personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal developmentand we recognize success at every step.
Our employees use the Partners HealthCare values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk, and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
Reporting to the Supervisor of Patient Financial Services, the Patient Services Representative is responsible for helping to maintain the day to day operations of the programs/area he/she is assigned to. The Representative must be able to perform well in a high volume and fast paced production work environment with a high degree of accuracy and productivity. He/she must also perform required tasks independently, assume responsibility for required results and work well in a team environment.
PRINCIPAL DUTIES AND RESPONSIBILITIES
Obtain and enter accurate registration, demographic and insurance information for inpatient, partial, rent and ambulatory patients.
Contact third party carrier to verify insurance coverage.
Review admissions department data collection for thoroughness and accuracy of patient information.
Interview all patients courteously for financial discussion and accurate completion of financial paperwork.
Admit partial, rent and ambulatory patients.
Assign appropriate plan code to the admission based on the insurance verification process.
Calculate accurate rate reduction amounts based on Mclean hospital policy.
Responsible for determining deposit amounts, collecting monies, and writing receipts.
Monitor and rectify all problems associated with hold bills unbilled charges.
Daily management and resolution of patient rep system work list.
Effectively explain financial policies and procedures to patients and responsible parties.
Act as a liaison between hospital, payers, vendors, patient accounts and patient.
Other duties as assigned.
High school degree or GED equivalent required.
1-3 years of experience in customer service, admission, registration, insurance verification and financial counseling experience or previous physician office medical billing preferred.
Use of ADT and hospital patient accounting systems experience preferred.
Alternative work experience or training in lieu of experience may be considered.
Proficient use of Excel, Word, IDX, HPA, EPIC experience preferred, adding machine use, and credit card terminals.
Exceptional interpersonal skills to interview and obtain information from patients.
Interact with Partners and Mclean hospital personnel, as well as, insurance administrators and vendors required.
Excellent customer service skills, work independently and well organized.
The analytical abilities to determine appropriate priorities where options may be limited and to gather information necessary to complete admission registration, financial counseling, and insurance information in a timely manner.
Must have the ability to work in a fast paced area where the performance and concentration of multiple tasks simultaneously is required.
HIPAA privacy guidelines
Must be able to speak and listen clearly.
Attention to detail
Partners HealthCare is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.