GENERAL SUMMARY:



This position plays a key role in venous procedure scheduling and related workflows in a high-volume Vein Care practice, requiring exceptional customer service. The Scheduling Specialist must be resilient, patient, adaptable, and have a high degree of emotional intelligence/compassion. Looking for someone with excellent Epic skills, a keen understanding of the need to communicate changes or concerns with administrative and clinical teams in a timely manner, and a deep commitment to quality care. This is a high-performing, collaborative and friendly team - truly a great place to work!




PRINCIPAL DUTIES & RESPONSIBILITIES:



Under general supervision, provides administrative support to a physician, medical practice or clinic for patient care and administrative activities. Works with the physician, staff members and management to ensure a quality-based, customer-oriented flow of work. Utilizes discretion and judgment to organize priorities, complete tasks and handle confidential patient information. Performs a wide range of administrative tasks to support a medical office, including scheduling patient appointments, procedures and diagnostic testing; obtaining referrals, pre-authorizations and pre-determinations as needed; provides patient reception; educates patients prior to procedures; prepares consultation letters, notes, correspondence and manuscripts; and answering high volume telephones.


• Greet patients in a professional, business-like manner.


• Registers and/or updates demographic, PCP, insurance and other key information elements for all patients seen within the practice. Ensures that all demographic data in the patient medical record is current and complete, referring new and existing patients to the Registration and Referral Center as needed to enable full registration to occur.


• Schedule, re-schedule and cancel patient appointments both internal and external to the practice using Epic; may include scheduling for more than one facility. Review key registration elements with patients during time of scheduling.


• Answers telephone, triages calls, takes accurate and detailed messages using professional and courteous customer service techniques. Maintains confidentiality and privacy consistent with HIPAA guidelines.


• Consistently ensures referral forms are obtained from patients or primary care physician's office prior to patient's office visit; when needed obtains additional forms such as missed referral and missed appointment fee. Coordinates, tracks and decrements referrals as needed. Creates and sends no show letters.


• Performs all duties related to the Revenue Enhancement activities of the practice, including but not limited to co-pay collection, registration verification, encounter form reconcilement etc.


• Arranges for inside and outside referrals for physician office appointments and schedule as appropriate through the internal referral system.


• Provides basic information and instructions to patients regarding the practice and the Hospital. Arranges for transport interpreter and other services as required by the patients.


• Retrieves medical records prior to patient office hours; Keep patient charts neat and orderly ensure that all necessary laboratory and radiological test results and medical records are obtained, from within and outside of MGH, and properly filed prior to patient's office visit. Ensures records are available for physician needs e.g. signature, billing, etc.


• Maintains knowledge and skill in the use of appropriate electronic systems to obtain and provide information. Monitors and uses systems to execute tasks, such as wait list, in basket, incoming and outgoing referrals.


• Distributes patient information, maps, etc. prior to patient appointments.


• Answers patient/family questions regarding appointments, surgical procedures, and pre-operative instructions as appropriate.


• Accurately records information on day sheet according to needs of physician.


• Schedules follow-up appointments and laboratory or radiology testing in a timely and courteous manner; prepares appropriate requisition/paperwork; ensures that any necessary follow-up is scheduled at the appropriate time in the future. Print after visit summer report for patients.


• Re-schedules any cancelled appointments in a timely manner and mail cancelled appointment letters to patient.


• Book procedures and complete all paperwork for vein marking, procedures, and post-op appointments. Verify if compliance visit is necessary, if so, book to ensure authorization by insurance company. Assist MGH when necessary by helping with last minute prescriptions and booking post-op appointments for patients in Stoneham when no one is available in Boston (Monday holidays).


• Obtain preauthorization, predetermination for ALL procedures being submitted to insurance. Input all authorizations into the computer. Handle any issues that arise and arrange peer to peer review if necessary. Keep patient informed if there is a problem with insurance. Let patients know if they have a deductible or if a deposit is due. Send paperwork to patient to let them know when their appointments are, restrictions pre & post procedure, prescriptions that need to be taken, and insurance waivers to be signed.


• Educate patients on the importance of compliance for the insurance companies to avoid delays in scheduling procedures and payment of services.


• Maintain procedure cancellation list for all physicians and fill any cancellations as they arise to ensure a smooth flow to their schedule.


• Responds to requests from physicians' offices, family, or government agencies for letters of medical necessity, letters to schools, copies of medical records, etc. as necessary.


• Interacts in a courteous manner with physicians, nurses, and administrative staff within and outside of MGH to coordinate care of patients, obtain referrals, provide feedback, answer questions, etc.


• Cross covers other staff members, e.g. breaks, lunches, vacations, during variations in work flow as needed.


• Participates in periodic staff meetings or other departmental meetings.


• Perform/participate in special projects as may arise from time-to-time.


• 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.



Qualifications

Qualifications


• High School Diploma or GED required. Associate's Degree highly preferred.


• Minimum of 2 to 4 years of medical office experience strongly preferred. Experience in complex scheduling helpful.



EEO Statement

Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.