Patient Service Specialist

BHMG Lifespan Physician Group, Inc., d/b/a Brown Health Medical Group; United States; 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 support the administration team in a Rhode Island/MA area facility. You will handle front desk tasks, schedule appointments, verify demographics and insurance information, and maintain confidentiality while delivering high-level customer service to patients in-person, by phone, and via email.

The role requires EMR experience (Athena a plus), proficiency with Microsoft Office, and

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 ensures the information reaches the physician/staff.
• Provides routine information and only authorized medical advice from a provider.
• Delivers high level of customer service to patients.
• Creates patient cases and documents telephone calls in EPIC.
• Schedules patient appointments and testing as requested.
• Registers patients in EMR and verifies demographics and health insurance information.
• Performs eligibility checks to ensure insurance is reflected accurately.
• Collects insurance co-pays and balances from patients.
• Follows scheduling notes and direct scheduling across BHMG practices.
• Pre-visit planning and insurance eligibility checks daily.
• Obtains prior authorizations and/or referrals as needed.
• Outreach to patient groups for care and quality guidelines.
• Schedules specialty appointments/testing.
• Handles EMR: buckets as directed.
• Notifies manager of supply needs or assists with ordering.
• Follow up with providers on missing slips and creates claims in EPIC.
• Works assigned revenue cycle buckets as directed.
• Maintains independence with minimal supervision.
• Adheres to policies and patient confidentiality.

Skills

Customer service

Communication

Interpersonal skills

EMR experience

Microsoft Office

Education

High School Diploma or equivalent

Medical Assistant program or equivalent

Tools

Athena EMR

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: 70 Walnut Street - 70 Walnut Street Foxborough, Massachusetts 02035

Work Type: M - F 7:30 AM to 5:00 PM Work Shift: Day Daily Hours: 8 hours Driving Required: Yes

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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