Patient Access Rep

Position: Patient Access Rep

Department: Patient Access Services, Menino & Yawkey

Schedule: Full Time, 8:30am - 5pm, Monday - Friday, U

POSITION SUMMARY:

Under the general direction of PFC Manager, the Patient Access Rep has a dual role to help vulnerable BMC patients with access to healthcare coverage and preserve and protect BMC revenue by securing payors to reduce uncompensated care. The IPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for health insurance programs to cover hospital expenses and/or access post-acute care services as needed to maintain health and well-being.   As a Certified Application Counselor, the IPFC will screen patients, assess needs, and determine a plan to help patients secure insurance coverage, including but not limited to MassHealth, Out of State Medicaid, HSN, Qualified Health Plans, and the hospital’s Charity Care Program 

The IPFC serves as a resource for Case Management by assisting patients in securing insurance coverage, often required to support the coordination of discharge planning and access to needed post-acute services, maintenance medications, and/or continued primary and specialty care follow-up.   Moreover, the IPFC plays a major role as a multi-disciplinary partner in helping address and resolve discharge barriers for complex patient cases.  The IPFC’s responsibilities are subject to modification as best practices are identified and developed to best support both patients and the organization. The IPFC role requires a highly adaptive individual, who demonstrates compassion and empathy, and possesses creativity and innovative thinking for problem solving. 

JOB REQUIREMENTS

EDUCATION:

• High School Diploma/GED

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• MassHealth’s Certified Application Counselor within 90 days of hire. maintain certification renewal annually required.

EXPERIENCE:

• 2 years of hospital registration or financial assistance related experience OR a minimum of five years customer service experience.
• Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.

KNOWLEDGE AND SKILLS:

• Demonstrates professionalism, maturity, and confidence needed to work effectively in a diverse, multi-cultural, and decentralized environment.
• Displays strong, consistent communication skills, (oral and written), interpersonal skill, and record keeping skills.
• Demonstrates knowledge and understanding of eligibility criteria and application process for programs offered through MassHealth, Health Safety Net, ConnectorCare, and BMC’s Charity Care Program.
• Displays strong organizational skills with ability to manage multiple tasks simultaneously; prioritize work assignments appropriately; and complete follow up task timely.  
• Demonstrates strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision. 
• Demonstrates critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified.
• Requires strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and successfully assist patients in securing active coverage.  
• Knowledge of software applications such as Microsoft Excel and Word.
• Ability to interpret and record data and understand basic medical terminology.
• Displays exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity. IND123

Equal Opportunity Employer/Disabled/Veterans