Patient Access Representative

3391852 Patient Access Representative, Worcester, MA 3 months

Sigma Systems is currently looking for a Patient Access Representative to work with the Revenue Cycle at UMASS in Worcester, MA.

Shift Timings: 08.30 AM-5:00 PM, 40 hpw, includes a 30 min break. Weekend and Holiday Rotation Required. Full-Time, Monday – Friday. 13‑week contract with the possibility to extend and/or convert to a permanent position based on performance and business need.

• Greet patients and visitors for scheduled and urgent appointments.
• Verify patient demographics and insurance information.
• Collect co‑payments and obtain treatment and billing authorizations.
• Assess patient needs and coordinate referrals for financial counseling, interpreter services, and social services.
• Answer, screen, and route incoming phone calls.
• Schedule routine and urgent appointments, procedures, diagnostic testing, and ancillary services.
• Coordinate appointments involving multiple providers and treatment areas.
• Prioritize scheduling to maximize patient care and provider efficiency.
• Provide patients with verbal and written preparation instructions for procedures and testing.
• Obtain insurance prior authorizations, pre‑certifications, and referrals.
• Verify insurance eligibility and resolve discrepancies.
• Facilitate prescription renewal requests within established guidelines.
• Prepare patient information for provider visits.
• Update electronic medical records accurately and timely.
• Review billing discrepancies and assist with corrections.
• Maintain accurate records, logs, scheduling documentation, and patient files.
• Perform administrative duties including faxing, scanning, filing, mail distribution, spreadsheets, and data entry.
• Prepare reports and spreadsheets as requested by providers or leadership.
• Process patient co‑payments and maintain accurate reconciliation records.
• Compose routine correspondence and standard patient communications.
• Support clinicians, residents, and staff with day‑to‑day administrative functions.

• Healthcare scheduling experience is required.
• Experience scheduling procedures, imaging, specialty appointments, or ancillary services is highly preferred.
• This is a back‑office scheduling role, not a front desk receptionist position.
• Position is primarily phone‑based in a high‑volume ambulatory scheduling environment.
• Candidates must be local and available to interview onsite.

• 3+ years of healthcare scheduling experience (or 1+ year with an Associate’s or Bachelor's degree).
• Patient Access Representative, Medical Scheduler, or Scheduling Coordinator experience.
• Experience scheduling procedures, imaging, specialty clinics, surgery, GI/endoscopy, or multiple‑provider appointments.
• Experience with insurance verification, referrals, and prior authorizations.
• EPIC or comparable EMR experience.
• Strong phone and customer service skills with experience in a high‑volume scheduling environment.
• Ability to multitask, prioritize, and work independently in a fast‑paced setting.

• Front desk receptionists whose primary duties are check‑in/check‑out with limited scheduling responsibilities.
• Candidates without healthcare scheduling experience.
• Candidates without experience handling insurance verification, referrals, or prior authorizations.
• Candidates seeking primarily Medical Assistant or direct patient care roles.
• Candidates without experience working in a high‑volume phone or scheduling environment.

Education:

• High School Diploma or equivalent – required.
• Associate or Bachelor's degree – preferred.

• Minimum 3 years of related healthcare scheduling experience.
• Requirement waived for candidates with an Associate's or Bachelor's degree and at least 1 year of recent healthcare scheduling experience.
• Experience scheduling patient appointments in a healthcare setting.
• Experience with insurance verification.
• Experience obtaining referrals and/or prior authorizations.
• Experience working in a high‑volume phone environment.

• Patient Access Representative experience.
• Medical Scheduler or Scheduling Coordinator experience.
• Procedural, specialty clinic, imaging, radiology, GI/endoscopy, or surgery scheduling.
• EPIC experience.

• EPIC or comparable EMR/EHR experience.
• Healthcare scheduling software.
• Microsoft Office Suite.
• Strong computer and data entry skills.
• Multi‑line phone systems.

• Excellent communication and interpersonal skills.
• Strong organizational and multitasking abilities.
• Ability to prioritize multiple scheduling requests simultaneously.
• Professional demeanor with exceptional customer service.
• Ability to work independently under pressure.
• Strong attention to detail.
• Ability to maintain HIPAA compliance and patient confidentiality.