Job Information
Berkshire Health Systems Pre-Registration Scheduling Specialist in Pittsfield, Massachusetts
DEFINITION/PRIMARY FUNCTION
The Pre-Registration Scheduling Specialist is responsible for pre-registration, insurance verification and rescheduling for multiple departments including physician offices within Berkshire Health Systems and Berkshire Faculty Services. He/She will maintain excellent customer service in accordance with standards of Berkshire Health Systems. Duties include analyzing patient or MD requests and coordinate accurate instruction and information exchange through inbound and outbound communication as privacy guidelines are followed; identify and determine the order of appropriate insurance(s) (Medical, Work Comp, Legal, or Client Billing) listed on the account using one or more verification programs; translate accurate payer eligibility returns to aid Patient Accounts in the prevention of bad debt or denials before the time of billing; enter accurate ICD 9 Code(s) when scheduling and rescheduling and follow strict federal medical necessity standards; perform registration, authorization/referral retrieval for outpatient testing/appointments, and mailing duties for departments as needed.
POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)
Experience:
1 year clinical experience preferred. Medical Terminology required. Demonstrate strong skills in telephone and written communications required. Demonstrated customer service focus required. Basic computer skills required. Proven typing ability. Experience in a hospital environment preferred. Knowledge of outpatient tests, procedures, and appointment types preferred. Previous experience in hospital Meditech Scheduling and Admitting functions preferred.
Education and Training:
Two years of college or equivalent work experience preferred. High school graduate. Medical Terminology required. Ability and willingness to train to assist in the training of new hires. The ability to understand and speak Spanish is desired.
License, Certification & Registration:
N/A
Other Requirements:
Professional presentation with exceptional customer service skills; including oral, written, and telephone communication. Strong typing skills and computer systems experience. Must possess and demonstrate strong organizational skills and flexibility. Able to speak the English language in a clear manner. Expert knowledge & ability to interpret eligibility responses. (i.e.: Passport, REVES, BMC Healthnet & HNE Direct). Ability to troubleshoot & maintain proper operation of business equipment. Ability to handle stressful situations calmly & rationally. Meet pre-established productivity expectations despite high levels of interruptions. Maintain a professional & courteous demeanor. Ability to become a liaison to the department we service. Individual must possess in depth knowledge of department and maintain communication with the department in order to best serve the dept. (i.e: training, protocols, troubleshooting, patient communication, & continually improving service to their location.)