Evening & Weekend Patient Access Specialist

Tufts Corporate; Tewksbury (MA); On-site; USD 28,000 - 34,000; Part time

Job summary

Tufts Medicine is seeking a Patient Access Representative for an onsite role at the Tewksbury Urgent Care location. This position handles registration, financial clearance, insurance verification, and patient scheduling for inpatients and outpatients.

The role emphasizes customer service, HIPAA compliant practices, and accurate data entry to ensure timely payment and coordination of care. Training occurs during daytime hours, with modest evening/weekend shifts as described.

Qualifications

• High school diploma or equivalent.
• One year of experience in customer-service settings preferred.
• Knowledge of private insurance, Medicare, and Medicaid.

Responsibilities

• Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient's family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly.
• Obtains consent for treatments and authorizations as necessary. Explains signature requirements to patients and patient's representatives in a manner that is easily understood by the patient or their representative.
• Verifies the validity of insurance coverage via eligibility tools. Ensures the appropriate plan codes have been added to registration based on the information provided in the eligibility response.
• Collects the appropriate information for auto and worker's compensation registrations including information collected from the responsible party including the auto or worker's compensation carrier, agent and/or employer.
• Notifies patient of financial liabilities as determined by insurance benefits, coverage limits, and appointment/procedure-specific charges.
• Takes an active role in the collection of patient payments. Understands all collection policies and procedures that pertain to time-of-service collections.
• Posts collected payments in system of record and verify appropriate dollar amount and volume are posted in compliance with department guidelines.
• Provides Financial Counselor contact information to patients qualifying for state-sponsored financial assistance.
• Obtains authorization, pre-certification, referral, and/or notification as necessary.
• Takes personal responsibility to provide excellent customer service and delivers exceptional professional courtesy to all patients.
• Interacts with physicians, nursing units, and office staff in a courteous and professional manner.
• Maintains hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations such as HIPAA.

Skills

Customer service

Data entry

Excel

Medical terminology

HIPAA compliance

Education

High school diploma

Tools

EHR system

Job description

Tufts Medicine is seeking a Patient Access Representative for an onsite role at the Tewksbury Urgent Care location. This position handles registration, financial clearance, insurance verification, and patient scheduling for inpatients and outpatients.

The role emphasizes customer service, HIPAA compliant practices, and accurate data entry to ensure timely payment and coordination of care. Training occurs during daytime hours, with modest evening/weekend shifts as described.