Clinical Pathologist

When you join the growing BILH team, you’re not just taking a job, you’re making a difference in people’s lives.

Position Summary

Per Diem for Radiology, with varied hours (days, evenings, weekends, holidays) based on operational needs of the department. Performs a variety of functions to support an accurate, safe and customer‑focused patient access process. Ensures that all proper patient financial and demographic information is obtained and processed so BID Plymouth Hospital is fully reimbursed for clinical services. Handles patient questions and requests accurately and efficiently, ideally with first‑call resolution or by making appropriate referrals to other departments. Ensures the patient experience in accessing healthcare at BID Plymouth Hospital is efficient and welcoming, and that patient confidentiality is respected and patient safety is preserved.

Duties / Responsibilities

Registration:

• Registers patients presenting for visits and explains the registration process to patients.
• Processes patient co‑payments, co‑insurance, deductibles and balances due; safeguards checks and receipts and reconciles cash drawer at end of each business day.
• Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.
• Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department, distributes documents to patients, and scans, processes and records receipt of all documents collected during the registration encounter.
• Counsels patients regarding non‑covered services, obtaining signatures on Advance Notice Beneficiaries (ABNs), consents and waivers.
• Monitors patient waiting area for a smooth, efficient registration flow, advises patients of potential delays and takes steps to ensure a pleasant patient experience.
• Completes registrations on inpatient units who may be missing information from their original registration.
• Responds to patient concerns and potential patient safety issues accordingly; recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk.
• Assures a neat, orderly registration desk and patient waiting area, securing all confidential patient information.

Scheduling:

• Initiates patient scheduling activities by prioritizing and accessing multiple sources, including patient phone calls and digital messaging, orders and scheduled order work queues.
• Utilizes a variety of information sources to schedule, reschedule and cancel patient appointments, including online questionnaires, offline materials and subgroup searches.
• Establishes working relationships with staff of assigned clinical departments and understands and correctly applies unique clinical department scheduling protocols.
• Remains current on scheduling protocols and applies judgment, or seeks management assistance, to ensure safe patient care when clinical department scheduling protocols do not meet patient needs.
• Ensures all required key patient scheduling and registration information is captured and verified: referring physician information, insurance coverage, demographics and contact information.
• Identifies and communicates to Patient Access management issues that may impact the timeliness and accuracy of patient appointments and subsequent patient care.
• Strictly follows confidentiality and equipment security and safeguarding guidelines when working in a remote setting, maintaining productivity, quality and accuracy levels and communicating regularly with the Supervisor and Manager.

Pre‑Registration:

• Efficiently registers patients, capturing and verifying all required information to identify the patient, contact the patient and receive proper reimbursement for services on initial claim submission.
• Ascertains, creates and assigns the guarantor for each patient, including personal/family relations, workers‑compensation insurance, third parties, behavioral health or others as required.
• Identifies records and verifies patient insurance coverage using real‑time eligibility (RTE); reviews the insurer’s response to each verification request and takes appropriate action based on this response.
• Applies the appropriate guarantor and insurance to each patient visit.
• Communicates financial clearance status to patients, advises patients of contract status, self‑pay status and payment responsibility and schedules patients with Financial Counseling as needed.

Organizational Requirements:

• Maintain strict adherence to the BID‑Plymouth Hospital Confidentiality policy.
• Incorporate BID‑Plymouth Code of Conduct Principles into daily activities.
• Comply with all BID‑Plymouth Hospital Policies.
• Comply with behavioral expectations of the department and BID‑Plymouth Hospital.
• Maintain courteous and effective interactions with colleagues and patients.
• Demonstrate an understanding of the job description, performance expectations, and competency assessment.
• Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participate in departmental and/or interdepartmental quality improvement activities.
• Participate in and successfully complete Mandatory Education.
• Perform all other duties as needed or directed to meet the needs of the department.

Education / Experience Required

• HS Diploma
• Prior experience in patient access, practice management or another related healthcare role.
• Knowledge of healthcare billing, insurance verification, and authorization processes.
• Strong understanding of healthcare compliance and regulatory requirements.
• Excellent interpersonal and communication skills.
• Proficient in using hospital information systems and related software.
• Demonstrated ability to function independently with minimal supervision, possessing good decision‑making skills and the ability to work under pressure while maintaining a helpful and courteous manner.

Physical / Environmental Requirements

This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs. There will be occasional need for climbing stairs, lifting in excess of 50–100 lbs and sitting. Constant use of hearing, sight and speech. Frequent use of smell and touch. Frequent keyboard and telephone use. Constant concentration and problem solving.

Pay Range

$18.81 – $33.00 per hour.

This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement.

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

Equal Opportunity Employer / Veterans / Disabled