Registration Specialist II

MFS Investments; Boston (MA); On-site; USD 50,000 - 54,000; Full time

Job summary

Dana-Farber Cancer Institute in Boston seeks a Registration Specialist II to pre-register patients, verify demographics and insurance, and assist with Patient Gateway enrollment. You will handle eligibility work queues and coordinate with Financial Counselors as needed.

With moderate supervision, you will document activities in Epic, uphold HIPAA confidentiality, and support staff training while maintaining service excellence in a fast-paced environment.

Qualifications

• Strong knowledge of managed care policies and medical terminology.
• Strong knowledge of Epic or other hospital information systems.
• Strong customer service and communication skills, both written and verbal.
• Good judgment, tact, and sensitivity.
• Analytical and problem-solving skills.
• Relationship building skills with proven ability to collaborate.
• Ability to work independently and as part of a team.
• Ability to prioritize work and meet deadlines.

Responsibilities

• Pre-registers new Adult and Pediatric patients by phone or messages.
• Collects and documents patient demographics and insurance information in Epic.
• Verifies patient identification and updates demographics, contacts, insurance, and PCP.
• Completes Medicare Secondary Payer questionnaire for Medicare beneficiaries.
• Assists patients with Patient Gateway enrollment and eCheck-In signatures when possible.
• Manages insurance coverage questions and works with Financial Counselor as needed.
• Processes eligibility work queues and escalates to Financial Counselor when needed.
• Complies with HIPAA confidentiality policies.
• Manages eligibility and COB denials as assigned and contacts payers/patients for correct info.
• Updates changes to patient insurance/demographics; reviews error reports
• Documents daily activities in Epic and department templates promptly.
• Maintains positive working relationships with internal and external partners.
• Completes assigned queues, projects, and other duties; assists in training staff.

Tools

Epic (hospital information system)

Microsoft Office

Job description

The Registration Specialist II reports to Manager, Registration and Denial Management and is responsible for registering patients at Dana-Farber Cancer Institute (DFCI), with moderate direction. These functions include, but are not limited to, collecting and updating demographic and insurance information, confirming insurance eligibility, verifying benefits, and assisting patients with sign up for Patient Gateway. In addition, the Registration Specialist II is responsible for the timely and accurate completion of assigned work queues, with limited supervision. This role requires a commitment to service excellence, the ability to work in a fast-paced environment, and a knowledge of the overall financial policies and procedures at DFCI.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

PRIMARY DUTIES AND RESPONSIBILITIES:

With moderate supervision, the Registration Specialist II:

• Pre-registers new Adult and Pediatric patients by making/receiving patient calls or receiving/sending messages via a Customer Relationship Management tool.
• Collects and accurately documents patient demographic, financial, and other relevant personal information into Epic.
• Verifies patient identification, and confirms and updates patient demographics, patient contacts, insurance information, and PCP.
• Completes the Medicare Secondary Payer questionnaire with all Medicare Beneficiaries.
• Assists patients with sign up for Patient Gateway and obtains signature for Registration consent forms via eCheck-In when possible: General Consent for Treatment, HIPAA Notice for Privacy Practice, Patient Rights and Responsibilities, New Patient Information, and DFCI Virtual Care Consent.
• Manages insurance coverage questions for patients, potentially working with the DFCI Financial Counselor.
• Works eligibility work queues to identify invalid insurances for patients and escalates patients as needed to a Financial Counselor for assistance.
• Complies with all Dana-Farber and HIPAA confidentiality policies.
• Manages eligibility and coordination of benefits claim denials as assigned through daily work queues and documents activities into the hospital information system; may require contacting the payer and/or the patient to obtain the correct insurance information.
• Updates changes to patient insurance and/or demographic information as needed.
• Reviews daily error reports and makes necessary demographic updates in Epic.
• Implements downtime procedures during planned and unplanned system downtime events.
• Documents daily activities in a timely, thorough, and accurate manner in the hospital information system and department templates.
• Promotes and maintains positive working relationships within the department, within the institute, with Brigham and Women’s Hospital, Boston Children’s Hospital, and with the DFCI regional campus locations.
• Completes assigned work queues, projects, and other duties, as directed.
• Assists in the training and mentoring of staff.
• Assists in developing and maintaining training materials and other resources.
• Provides escalation support and manages more complex situations and cases.
• Provides feedback for quality or process improvement initiatives and projects, as required.
• Performs other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Strong knowledge of managed care policies and medical terminology.
• Strong knowledge of Epic or other hospital information systems.
• Strong customer service and communication skills, both written and verbal.
• Good judgment, tact, and sensitivity.
• Analytical and problem-solving skills.
• Relationship building skills with proven ability to collaborate.
• Proficient use of Microsoft office.
• Ability to work independently.
• Strong team player with demonstrated leadership abilities.
• Ability to prioritize work and meet pre-determined deadlines, with moderate supervision.
• Ability to work with sensitive patient information and maintain confidentiality.

MINIMUM JOB QUALIFICATIONS:

Minimum Education:

• High school diploma or GED required; bachelor’s degree preferred.

Minimum Experience:

• 2 years of experience in hospital/physician office registration required.

Certification/Licensure/Registration:

• None

SUPERVISORY RESPONSIBILITIES:

• None

PATIENT CONTACT:

• Yes

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.

EEO Poster

Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).

$49,500.00 - $53,500.00