Patient Service Specialist

Brown University Health; Faunce Corner (MA); On-site; USD 25,000 - 41,000; Full time

Job summary

Brown University Health in North Dartmouth, MA is seeking a Patient Service Specialist to join the administrative team. You will handle front-end operations, answer calls, schedule appointments, register patients, and manage insurance eligibility while upholding compassionate service and confidentiality.

You will document interactions in EPIC, process payments, and coordinate with providers and other BHMG practices.

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

Responsibilities

• Answers calls and routes telephone calls appropriately; takes messages and follows through with each message.
• Provides a high level of customer service to all patients.
• Creates patient cases and documents calls in EPIC.
• Schedules patient appointments and testing as requested.
• Registers patients in EMR and verifies demographics and insurance information; conducts eligibility checks.
• Collects insurance co-pays and balances.
• Follows scheduling notes and sends patient visits to BHMG practices as advised.
• Performs pre-visit planning and insurance eligibility checks.
• Obtains prior authorizations and/or referrals as needed.
• Performs outreach for patient care and quality guidelines; schedules specialty appointments/testing.
• Manages EMR buckets as directed and per practice need.
• Alerts manager to administrative supply needs or ordering.
• Follows up with providers on missing slips and creates claims in EPIC.
• Works assigned revenue cycle buckets as directed.
• Ability to work independently with minimal supervision.
• Adheres to BHMG policies and patient confidentiality.

Tools

Athena EMR

Microsoft Office

Word

Excel

Outlook

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. 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.

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 BHMG 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:

535 Faunce Corner Road - 535 Faunce Corner Road North Dartmouth, Massachusetts 02747

Work Type:

m-f 8-5

Work Shift:

Day

Daily Hours:

8 hours

Driving Required:

No