Nantucket Cottage Hospital Patient Access Rep - Per Diem in Nantucket, Massachusetts

Job Summary:

Under general supervision, Patient Access Rep provides administrative support to health care providers in a multidisciplinary ambulatory setting, functioning as the primary interface between the patient and the providers. The emphasis is placed on the ability to perform patient registrations, organize priorities, complete tasks, manage confidential patient information , schedule patient appointments and diagnostic testing, referrals and other managed care related issues. They must also be able to manage a patient’s entire flow through the Revenue Cycle Process to ensure referrals/pre-authorization, check-in, check-out, and charge entry.

Essential Job Duties and Responsibilities

  1. Enters and tracks patient appointment in scheduling system.

  2. Pre-registers patients, obtains, verifies and records personal, demographic and financial information via telephone or other electronic interview. Collects this information accurately and comprehensively in a sensitive and timely manner.

  3. Works with Primary Care Physician offices to obtain referrals and authorizations. Verifies patient insurance coverage with Third Party Payers, determines eligibility and benefits, and obtains referrals by utilizing appropriate technology.

  4. Delegates clinical messages to designated provider.

  5. Provides daily reconciliation reports for each physician, detailing:

    1. Co-Payment Reconciliation

    2. Encounter Form (Charges) Reconciliation

  6. Scrub encounter forms to ensure all necessary fields are completed. Refers to appropriate resource to complete missing information.

  7. Performs charge entry functions.

  8. Understands financial services and self-pay resources, and provides patients with information and referrals to financial counseling as needed.

  9. Triages and manages complex telephone calls utilizing courteous customer service skills.

    1. Maintains confidentiality and privacy consistent with HIPAA guidelines.

    2. Schedules patient appointments via phone calls and follow-up appointments in office.

    3. Provides cross-coverage for other practice staff members for absences and vacations as well as during variations in workflow.

    4. Assists in training and orienting new staff, to front desk procedures and best practices.

    5. Performs all other related tasks facilitating patient flow and quality patient care.

    6. Works on special projects as assigned.

    7. Performs office duties efficiently, such as:

      1. Collecting and distributing mail and faxes that arrive at the office

      2. Separating payments received via mail for the practice.

    8. Scans all relevant documents.

    9. Performs other duties as assigned.

    Essential Qualifications, Knowledge, Skills, and Abilities Required for the Position

    Knowledge of:

    • Working knowledge of Microsoft Office applications.

    • Knowledge of medical terminology preferred.

    • Demonstrated in-depth understanding of managed care and all other pertinent insurance/medical coverage.

    • Demonstrated knowledge of HIPAA Confidentiality and Privacy Policies.

    • Demonstrated understanding of disaster protocols to include fire, safety, and code calls, pursuant to the mandatory training requirements outlined by NCH and JCAHO guidelines.


    • Command of the English language including some medical terminology

    • Exceptional organization skills, ability to multi-task, accurate attention to detail.

    • Excellent and effective interpersonal and communication skills

      Ability to:

    • Ability to tactfully communicate with both internal and external customers.

    • Ability to handle stress and work in emergency situations.

    • Ability to use of fingers and hands to operate all department-related equipment as described on the Department checklist and to perform all job duties. Additionally, must use beeper, telephone, calculator, fax, scanner and other related office equipment.

    • Ability to frequently bend, using back and knees.

    • Ability to stand and walk 30%, sit 70% of the time. Ability to frequently climb, bend, reach, stoop, squat, help lift objects from five to twenty pounds and move patients via wheelchair or stretcher.

    • Ability to present themselves in a professional manner.

    • Ability to work both independently or with a team approach.

    • Demonstrated ability to work effectively and courteously with various groups of patients, staff, and providers.

    • Demonstrated ability to problem solve, function as a resource to other members of the team, and resolve complex issues on behalf of the providers and the patients.

      Credentials and Experience Required

    • Associate’s Degree in Secretarial Science/Business, or a secretarial training certificate program preferred.

    • Prior patient access experience is strongly preferred. Special Requirements

    • Regular workweek requiring minimal additional hours. Some days, evenings, weekends and holidays may be required for this position. Must be available to work in the case of a declared hospital emergency

Job: *Admin/Clerical/CustService-Other

Organization: *Nantucket Cottage Hospital (NCH)

Title: Patient Access Rep - Per Diem

Location: MA-Nantucket-NCH - Nantucket Cottage Hospital

Requisition ID: 3069254