Gloria Higgins

Facilitates patient applications for Masshealth.

Ensured submission of required documentation to MassHealth for application completion.

Faxed necessary documents to Masshealth.

Requested insurance information from work queue for recently discharged emergency patients.

Entered insurance details into Epic.

• Managed patient scheduling, verifying insurance coverage and providing detailed instructions on necessary paperwork.
• Maintained accurate patient information in electronic health records system.
• Provided customer service for both in-person and telephone inquiries from patients, families, and other healthcare professionals.
• Facilitated communication between physicians, nurses, front office staff, and other clinical personnel regarding patient needs and care plans.
• Participated in quality improvement initiatives to ensure compliance with regulatory standards.
• Ensured that all necessary forms were completed accurately and timely.
• Updated patient information as needed in practice management software.
• Adhered to HIPAA regulations while handling protected health information.
• Communicated with patients with compassion while keeping medical information private.
• Complied with OSHA and HIPAA regulations.
• Explained policies, procedures and services to patients.

• Triage and respond to telephone or electronic inquiries from patients, physicians, employees regarding appointments, prescription refills and provider messages.
• Work to resolve caller issues and demonstrate the ability to transfer calls to they appropriate departments.
• Accurately and promptly schedule appointments, reschedules and cancellations.
• Facilitate new patient pre-registration, update current demographics and insurance information.
• Utilize information systems such as Epic, RCO and Eclinicalworks.
• Periodically check work queue through out the day for referral requests, contact patients to schedule when necessary.
• Take accurate messages and relay key information to clinical staff.

• Greeted patients and visitors in a courteous and professional manner.
• Verified insurance coverage for services provided by the facility.
• Collected co-pays and other payments from patients at time of service.
• Assisted with scheduling outpatient appointments.
• Ensured accuracy of all data entered into computer system.
• Scanned documents into electronic medical records system.
• Created new patient accounts in EMR system as needed.
• Answered phones promptly in a professional manner.
• Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
• Assembled registration paperwork and placed identification bands on patient.