Patient Services Coord. II

Patient Services Coordinator II

The Patient Services Coordinator II, under general supervision, provides administrative support to health care providers in a high-volume ambulatory setting, functioning as the primary interface between the patient and the providers. The emphasis is placed on the ability to organize priorities, complete tasks, manage confidential patient information, schedule patient appointments, diagnostic testing, referrals and other managed care related issues. Serves as an overall resource person for support staff.

Responsibilities :

• Performs all check-in and -out functions, as outlined by the MGH / MGPO Front Desk Standards of Operations.
• Submit prior authorizations to insurance company for medication and formula requests.
• Provides support and information to providers to problem solve and manage complex administrative patient issues
• Understands all HMO, Managed Care and other Third Party Insurers. Functions as a resource for patients around managed care plans, insurance and referral issues.
• Understands financial services and self-pay resources and provides patients with information as needed.
• Triages and manages more complex telephone calls, utilizing courteous customer service skills.
• Maintains confidentiality and privacy, which is consistent with HIPAA guidelines.
• Completely performs and is a resource to other team members in all revenue enhancement activities, including but not limited to registration verification, co-payment collection.
• Schedules patient appointments for specialty visits and diagnostic testing, as required. Coordinates the scheduling of diagnostic testing.
• Provides cross coverage for other Practice staff members for absences, vacations, etc. and during variations in workflow, as needed.
• Assists with training and orientation of new staff, where applicable.
• Performs all other related tasks which would facilitate the flow of patients through the practice, or which would enhance the quality of service to patients.
• Works on special projects as directed.

Qualifications :

Skills / Abilities / Competencies :

Pay Range : $17.36 - $24.45 / Hourly

Grade : 3

EEO Statement : The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and / or other status protected under law. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework : At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.