MG Patient Service Specialist

BHMG Lifespan Physician Group, Inc., d/b/a Brown Health Medical Group; Massachusetts; On-site; USD 25,000 - 41,000; Full time

Job summary

BHMG Lifespan Physician Group, Inc., d/b/a Brown Health Medical Group is seeking a Patient Service Specialist to join the administration team in Massachusetts. The role involves front-end duties, patient communication, and entering information into EPIC while maintaining confidentiality and professionalism across in-person, phone, and email interactions.

Responsibilities include scheduling, registering patients, verifying demographics and insurance, collecting co-pays, performing pre-visit

Qualifications

• One to three years in a medical assistant role is preferred.
• Strong customer service excellence expected.
• Excellent communication and interpersonal skills required.
• Experience with EMR is strongly preferred (Athena a plus).
• Experience with Microsoft Office, Word, Excel, and Outlook is preferred.

Responsibilities

• Answers calls and routes telephone calls; takes messages and follows through.
• Provides routine information and medical information only from a provider.
• Delivers high level of customer service to all patients.
• Creates patient cases and documents calls and messages in EPIC.
• Schedules patient appointments and tests as requested.
• Registers patients in EMR and verifies demographics and insurance information.
• Performs insurance eligibility checks.
• Collects insurance co-pays and prior balances from patients.
• Follows scheduling notes and directs schedules across BHMG practices.
• Performs pre-visit planning and runs insurance eligibility.
• Obtains prior authorizations and/or referrals as needed.
• Performs outreach to patient groups for care and quality measures.
• Schedules specialty appointments/testing when required.
• Manages EMR buckets as directed.
• Inform manager of supply needs and assist with ordering.
• Follow up with providers on missing slips and create claims in EPIC.
• Work on assigned revenue cycle buckets.
• Work independently with minimal supervision.
• Adhere to SMG policies and patient confidentiality.

Skills

Customer service

Communication

Interpersonal skills

EMR experience

Education

HS diploma

Medical assistant program

Tools

Athena EMR

Microsoft Office

Job description

SUMMARY:

This position is to function as a member of the administration team and complete assigned daily front end tasks to ensure smooth day to day operations in the BHMG physician practice. The Patient Service Specialist must maintain a professional, positive manner when talking with patients in-person, over the phone, or via email. This position requires coverage flexibility with shifts and location. Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate

RESPONSIBILITIES:

• Answers calls and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information.
• Provides routine information to callers and gives only authorized medical advice from a provider.
• Provides a high level of customer service to all new and existing patients of the practice.
• Creates patient cases and documents telephone calls and messages into EPIC.
• Schedules patient appointments and appropriate testing for patients as requested.
• Registers patients in EMR and verifies information including demographics and obtains accurate health insurance information.
• Conduct eligibility checks to ensure insurance is reflected accurately.
• Collects required insurance co-pays from patients including any prior balances.
• Follows scheduling notes and direct schedules patient visits in other BHMG practices as advised.
• Performs pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility.
• Responsible to obtain prior authorizations and/or insurance referrals as per practice need.
• Performs outreach to select patient groups as directed for patient care and quality measurement/guidelines.
• Schedules specialty appointments/testing as required.
• Performs work in EMR buckets as directed and per practice need.
• Responsible to inform manager of administrative supply needs or assists with ordering.
• Follows up with providers on missing slips and creates claims in EPIC.
• Responsible to work assigned revenue cycle buckets as directed.
• Must be able to work independently with little supervision.
• Adheres to SMG policies.
• Always uses discretion to ensure patient confidentiality.
• Performs other duties as requested.

REQUIRED QUALIFICATIONS:

• One to three years as a medical assistant preferred.
• Strong customer service excellence expected.
• Excellent communication and interpersonal skills required.
• Experience with EMR strongly preferred. (Athena a plus)
• Experience with Microsoft Office, Word, Excel, and Outlook preferred.

EDUCATION:

• High School Diploma or equivalent required.
• Education from approved medical assistant program or equivalent preferred.

Pay Range:

$18.13-$29.90

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

BHMGMA Brown Health Medical Group Massachusetts - 167 Point Street Providence, Rhode Island 02903

Work Type:

M-F 8:30am-5:00pm

Work Shift:

Day

Daily Hours:

8 hours

Driving Required:

No

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne’s Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island. Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself.

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