Winchester Physician Associates is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.
We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.
About the Job
As part of the practice team, this position:
- Screens providers’ phone calls and other messages/phone calls:
- Answers all incoming phone calls and routes to appropriate person. Takes clear messages for providers or other office staff, handles requests for information, including researching issue and ensures that emergent messages are handled per practice protocols.
- Answers common, non-clinical/complex questions and escalates questions as appropriate. Provides general information regarding the practice within scope of responsibility.
- Documents and researches patient prescription refill requests and forwards to provider using appropriate office protocols.
- Communicates test results, either written or verbally, as directed by provider.
- Provides the physician with message and other pertinent information. As appropriate, researches, pulls records and/or forwards to provider.
- Liaisons with patients and patient family members to assist them in navigating the scheduling of their patient care plan, as developed by the provider:
- Registers and web enables patients for portal access and coaches patients and family members on how to utilize the tool to optimize their care.
- Provides timely, courteous, informative and confidential insurance assistance for patients and their family members and assists patients in understanding their insurance.
- Educates patients about the practice’s referral policy and preauthorization requirements. Communicates with patients regarding the need for referral authorizations and coordinates with other practitioner offices when necessary.
- Schedules follow up appointments and/or provide information about recommended specialists.
- Schedules diagnostic and specialty appointments as directed by the provider or assists patients in navigating to specialists and/or testing appointments. Completes referrals and preauthorizations per healthcare payer and practice protocols.
- Obtains referrals for specialty care.
- Assists with patient throughput:
- Greets patients and others timely and in a manner that is respectful and empathetic.
- Registers patients, verifies health insurance coverage and demographic information. Collects co-payments, issues receipts, and obtains signatures for necessary forms.
- Maintains provider appointment schedules and advises providers of changes throughout the day. May print patient schedules for upcoming day/days
- Maximizes patient throughput to minimize wait time and improve patient satisfaction. Monitors waiting rooms and advises patients of delays.
- Escalates concerns.
- Assists with the maintenance of medical records:
- Files/scans miscellaneous loose reports and materials into medical records.
- For practices that use the service, pulls transcription reports when necessary and places properly in record. Requests stat and other dictaphone/transcription requests and follows up to ensure timely completion. Escalates and communicates delays that are not within department norms and/or physician or patient care unit’s requests.
- Based on practice procedure may pull/print and file medical records for scheduled patients and for requests by providers and other practice staff.
- Distributes medical record materials in compliance with HIPPA, legal requirements, state and federal guidelines and practice/WPA policies and procedures which may include electronically via fax, interoffice delivery, mail, and priority mailing.
- Reviews, prepares and updates patient records with the dual purpose of preparing the provider for appointments/procedures and reviewing to ensure patient care plans/protocols are being followed:
- Monitors outstanding or incomplete documentation by maintaining or generating patient lists/registries using the available tools and data and takes necessary steps to ensure completeness of all required documentation.
- Reviews patient records against quality measures and best practice indicators and advises providers of potential documentation and care gaps.
- Facilitates referral to other physicians and departments by completing the necessary forms and preauthorization/certification.
- Prepares medical records for scheduled appointments/procedure:
- Reviews for completeness before appointment and updates medical record as appropriate and ensures record is in the approved order.
- Inserts the required forms per procedure and department protocol.
- Follows up with patients or specialists to ensure patient care plans since last appointment were followed and the results are available for the physician's review.
- Intervenes with administrative support to ensure the patient care plan is followed:
- Follows up with provider and/or patient to ensure appointments/tests were completed as per the patient care plan.
- Confirms that lab and other ancillary tests are performed and results are documented in a manner that conforms with clinical reporting guidelines by utilizing the available tools and data. Conducts follow-up where information is found to be missing or incomplete.
- At pre-established intervals as determined by the best practice guidelines, confirms that lab and other ancillary tests are performed and results are documented in a manner that conforms with clinical reporting guidelines by utilizing the available tools and data. Conducts follow-up where information is found to be missing or incomplete.
- Checks patients out:
- Schedules follow up appointments and/or provides information about recommended specialists.
- Schedules diagnostic and specialty appointments as directed by the provider or assists patients in navigating to specialists and/or testing appointments.
- Completes referrals and preauthorizations per healthcare payor and practice protocols.
- Enters charges.
- Reviews patient records for accuracy performing quality checks on ICD9 and CPT codes and other related information to help streamline the billing process per practice protocols.
DAYS / 40 HOURS / N.READING
The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.
Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.