Tufts Medical Center Team Leader, Pre Registration & Verification Center in Boston, Massachusetts

Team Leader, Pre Registration & Verification Center

Department: Admitting

Schedule: Full-Time Regular

Shift: Day shift

Grade: 8.0

Hours: 7:30A-4P

Job Details:

  • Provides support to the Manager/PreReg and Verification Call Center by acting in the capacity of a Team Leader, coordinating the work of an assigned group of Patient Access Coordinators in the PreReg and Verification Call Center. Responsible for the accurate and complete collection and capture of patient registration data for an assigned area in the pre-registration and verification call center. Reviews and verifies scheduled ambulatory visits for an assigned area, including confirmation that valid insurance coverage exists, that a referral is authorized for specialty visits, and the accuracy of primary care physician data for all managed care patients. Strong customer service skills including excellent interpersonal and telephone skills. High degree of tact is necessary due to frequent interaction with patients, physicians, and insurance companies. Through knowledge and understanding of health care delivery systems with special emphasis on the referral management process for managed care providers. Through understanding of Medicare and Medicaid programs with the ability to identify primary payers. Excellent organizational skills required with attention to detail. Ability to prioritize work and be flexible with work assignments. Ability to perform accurate data entry with basic word-processing skills. Fluency in a second language is helpful. Level of knowledge generally obtained via completion of an Associate degree.Three to four years experience in insurance, managed care, private physician's office practice or hospital registration setting.