MelroseWakefield Hospital · 9 hours ago
Patient Service Representative I - Weekday Evenings
Lowell General Hospital
Full-time
Onsite
Entry Level
$20.12/hr - $25.15/hr
1+ years expTufts Medicine is seeking a Patient Service Representative I to join their team at MelroseWakefield Hospital. This role focuses on revenue cycle operations, including patient registration, demographic and financial information collection, and ensuring patients receive the necessary clinical services. The representative will also handle insurance verification and financial clearance for scheduled visits.
Health CareHome Health CareMedical Device
Responsibilities
Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient’s family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly
Obtains consent for treatments and authorizations as necessary. Explains signature requirements to patients and patient’s representatives in a manner that is easily understood by the patient or their representative
Verifies the validity of insurance coverage via eligibility tools. Ensures the appropriate plan codes have been added to registration based on the information provided in the eligibility response. Educated on different insurance plans and coordination of benefits. Able to identify if there are any concerns with coverage after checking insurance eligibility
Collects the appropriate information for auto and worker’s compensation registrations including information collected from the responsible party including the auto or worker’s compensation carrier, agent and/or employer. If full information is not collected, notes are properly documented as to why the information was not collected or available
Notifies patient of financial liabilities as determined by insurance benefits, coverage limits, and appointment/procedure-specific charges
Takes an active role in the collection of patient payments. Understands all collection policies and procedures that pertain to time-of-service collections. Communicates these policies effectively to patients following prescribed scripting. Understands the use of credit card devices regarding payments and credits. Is aware of all types of credit cards accepted by the organization
Posts collected payments in system of record and verify appropriate dollar amount and volume are posted in compliance with department guidelines
Provides Financial Counselor contact information to patients qualifying for state-sponsored financial assistance. Documents patient’s financial state and related information in system of record for reference of hospital administration and billing
Obtains authorization, pre-certification, referral, and/or notification as necessary. Attaches verification to patient’s account and documents information in the system of record for reference of hospital administration and billing
Takes personal responsibility to provide excellent customer service and delivers exceptional professional courtesy to all patients
Interacts with physicians, nursing units, and office staff in a courteous and professional manner
Maintains hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations such as the HIPAA Privacy & Security Standards
Meets the requirements of area specific benchmarks related to productivity and customer service such as wait times, call monitoring score card scores, number of registrations or calls processed, etc
Qualification
Required
High school diploma or equivalent
1 week of full-time training/orientation is required during the day shift (Monday through Friday 8:30 AM to 5:00 PM)
2 additional weeks of training are required and can be conducted during the day, evening, or weekends
1 summer/winter holiday is required
Preferred
One (1) year of experience in customer service setting, hospital registration, medical office, insurance, etc
Benefits
Comprehensive Total Rewards package that supports your health, financial security, and career growth
Company
MelroseWakefield Hospital
MelroseWakefield Hospital and Lawrence Memorial Hospital provide high-quality, community-based care.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase