Patient Access Specialist , Per Diem - England Neurological Associates, Lawrence

Hours
: 8 hours weekly

Location
:
New England Neurological Associates, Lawrence

This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Patient Access duties:
Performs the administrative and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. Collects patient's necessary demographic and financial information from physician offices, acute-care entities, or the patients themselves, schedules services for patients, and handles referrals from primary care doctors to ensure patients are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment.

The majority of time is spent in the delivery of support services or activities, typically under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is closely supervised, and communicates information that requires little explanation or interpretation.

This position coordinates all tasks associated with incoming consultation referrals from physician practices, hospitals and other healthcare facilities, as well as all benefit and referral management and medical record request management. Serves as the patient’s point of contact for medical insurance and financial counseling. The position will also report back to the multidisciplinary team.

• 1. High school diploma or equivalent.
• 2. Two (2) years of related experience in insurance, managed care referral processes, private physician's office practice or hospital registration setting.

• 1. Bachelor's degree.
• 2. Three (3) years of related experience in insurance, managed care referral processes, private physician's office practice or hospital registration setting.
• 3. Mass Health Certified Application Counselor.

• 1. Coordinates all incoming referrals for consultations from physician practices, hospitals, nursing homes and other healthcare facilities.
• 2. Compiles all clinical data, including physician notes, patient history, laboratory and imaging results and other clinical information necessary from referring physician or facility.
• 3. Arranges and schedules consultation appointments with patients, confirming demographic information and verifying insurance payor eligibility.
• 4. Verifies insurance, checks benefits, obtains patient responsibility from payer, etc.
• 5. Meets with the patient and family during the interdisciplinary introduction meetings to review the patient's insurance(s), insurance coverage, out-of-pocket costs, etc.
• 6. Serves as patient liaison for financial matters throughout treatment, including following up on insurance and financial risk assessment every quarter.
• 7. Collects patient responsibility pre-service. Establishes payment plan, if necessary.
• 8. Completes, files, and follows to resolution applications for Massachusetts Medicaid, including disability, Health Safety Net, and other such programs.
• 9. Refers patients to programs where Hospital staff cannot file directly for the patient, including Veteran's Services, and EAEDC.
• 10. Works closely with and communicates consistently with Social Work, Case Management, Billing, and Contracting to provide a cohesive support system to the patient and the clinical providers.
• 11. Stays abreast of regulations, making certain that applications are appropriate and…