Are you a current UMass Memorial Health caregiver?
Exemption Status: Non-Exempt
Hiring Range: $19.45 - $29.18 (based on a full time schedule of 40 hours per week). Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.
Schedule Details:
- Holidays - Every Other Holiday, Monday through Friday
- Scheduled Hours: 7a-330p/8a-430p/1030a-7p
- Shift: 1 - Day Shift, 8 Hours (United States of America)
- Hours: 40
- Cost Center: 24060 - 3880 Physical Therapy
- Union: SEIU - Service & Maintenance HealthAlliance Burbank
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Major Responsibilities:
- 1. Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures.
- 2. Confirms and verifies patient demographic and insurance information.
- 3. May collect co-payments from patients upon arrival.
- 4. Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
- 5. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.
- 6. Receives and directs phone calls.
- 7. Connects the patient's call to the provider or responds to the patient and takes messages as directed.
- 8. Schedules urgent care appointments as needed and directed by clinicians.
- 9. Schedules patients for treatment by multiple providers and treatment areas and arranges a variety of associated tests and procedures according to established guidelines and specific criteria.
- 10. Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources.
- 11. Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary.
- 12. Collaborates with insurers to obtain patients' prior authorizations for procedures and tests as needed.
- 13. Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits.
- 14. Complies with referral management regulations.
- 15. Verifies eligibility for procedures or tests from various health care institutions.
- 16. Follows up to correct discrepancies.
- 17. May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.
- 18. Preps the patient's information for clinicians for scheduled patient visits as needed.
- 19. Scrubs Patient Encounter information and submits electronically.
- 20. Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
- 21. Maintains accurate and timely records, logs, charges, files, and other related information as required.
- 22. Performs a variety of related administrative and clerical duties, such as retrieving files distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents, and staff.
- 23. May prepare special reports or spreadsheets for clinicians as requested.
- 24. Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
- 25. Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.
- 26. Composes, or selects standard form letters for clinician's response to routine inquiries and procedures, such as back-to-school authorizations.
Standard Staffing Level Responsibilities:
- 1. Meets established productivity standards.
- 2. Facilitates and promotes the sharing of knowledge and content throughout departments.
Takes responsibility for ensuring that all work outcomes satisfy the UMass Memoria