UMass Memorial Health

This role is responsible for assessing and verifying patient demographic, financial, and insurance information for scheduled medical services, focusing on collecting patient liabilities and resolving financial issues prior to service delivery. Key duties include initiating contact with insurance companies for eligibility, accurately estimating patient financial liability, processing payments, and ensuring pre-certification or authorization is in place.

This role involves performing complex administrative duties for patients needing appointments, procedures, and ancillary services in an ambulatory setting, which includes greeting visitors, verifying information, and collecting co-payments. Key tasks also involve scheduling urgent care appointments, arranging associated tests, collaborating with insurers for prior authorizations, and maintaining accurate patient records.

Ambulatory Services Representative providing administrative support in healthcare settings

Supervisor of Nursing Operations overseeing clinical and operational support for patient care.

The agent handles incoming and outbound phone calls to schedule patient appointments across multiple providers, clinics, and campuses, ensuring patients secure access to the right care at the right time. This role also involves securing necessary patient demographics, insurance information, and medical records to facilitate the financial and clinical aspects of care.

The Patient Access Scheduling Agent serves as the initial point of contact for patients, handling complex scheduling activities by managing incoming and outbound phone calls to secure appointments with the right provider at the right time. This role also involves securing necessary patient information, including demographics and insurance details, and collecting patient liabilities as appropriate.

Coder interpreting medical documentation for outpatient care at UMass Memorial Health

Outpatient Coder II processing hospital charges with coding responsibilities