Patient Access Representative

Patient Access Representative Healthcare Scheduling Worcester, MA

Sigma Systems is seeking an experienced Patient Access Representative to join the Revenue Cycle team at UMass in Worcester, MA. This is a full-time, onsite opportunity for candidates with strong healthcare scheduling, insurance verification, referrals, and prior authorization experience in a fast-paced ambulatory or specialty care environment.

This role is primarily phone-based and focuses on back-office patient scheduling, making it ideal for experienced Medical Schedulers, Scheduling Coordinators, Patient Access Representatives, and Referral Coordinators.

If you have experience with EPIC (or similar EMR), scheduling specialty appointments, insurance verification, and high-volume patient scheduling, we'd love to hear from you.

Key Responsibilities

• Schedule routine, urgent, and follow-up patient appointments.
• Coordinate appointments for specialty clinics, procedures, imaging, diagnostic testing, surgery, GI/endoscopy, and ancillary services.
• Manage complex scheduling involving multiple providers and treatment areas.
• Answer, screen, and route high-volume incoming calls professionally.
• Verify patient demographics and insurance eligibility.
• Obtain referrals, prior authorizations, and pre-certifications.
• Collect co-payments and secure treatment and billing authorizations.
• Update and maintain accurate patient information in EPIC or other EMR systems.
• Provide patients with appointment instructions and procedure preparation information.
• Review billing discrepancies and assist with corrections.
• Prepare patient charts and documentation for provider visits.
• Process prescription renewal requests within established guidelines.
• Coordinate referrals for interpreter services, financial counseling, and social services.
• Perform administrative duties including scanning, faxing, filing, data entry, spreadsheets, and correspondence.
• Maintain HIPAA compliance and patient confidentiality at all times.

Required Qualifications

• High School Diploma or equivalent required.
• Associate's or Bachelor's degree preferred.
• Minimum 3 years of healthcare scheduling experience.

OR

• Associate's or Bachelor's degree with at least 1 year of recent healthcare scheduling experience.
• Experience scheduling patient appointments in a healthcare environment.
• Insurance verification experience.
• Experience obtaining referrals and prior authorizations.
• Experience working in a high-volume phone environment.
• Strong computer and data entry skills.
• Excellent customer service and communication skills.

Preferred Qualifications

• Patient Access Representative experience.
• Medical Scheduler or Scheduling Coordinator experience.
• EPIC EMR experience.
• Experience scheduling:
• Specialty clinics
• Imaging
• Radiology
• Surgery
• GI/Endoscopy
• Procedures
• Multi-provider appointments
• Revenue Cycle experience.
• Knowledge of healthcare registration and patient access workflows.

Technical Skills

• EPIC EMR (preferred)
• Electronic Medical Records (EMR/EHR)
• Healthcare Scheduling Software
• Microsoft Office Suite
• Data Entry
• Multi-line Phone Systems
• Insurance Verification
• Prior Authorizations
• Referrals
• Appointment Scheduling
• Patient Registration
• HIPAA Compliance

Ideal Candidate

We're looking for professionals who have experience as a:

• Patient Access Representative
• Medical Scheduler
• Scheduling Coordinator
• Referral Coordinator
• Patient Services Representative
• Medical Office Scheduler
• Healthcare Customer Service Representative
• Ambulatory Scheduling Specialist
• Registration Specialist

Candidates should be comfortable handling high call volumes, managing multiple scheduling requests, and working independently while delivering outstanding patient service.

Why Join Sigma Systems?

• Competitive contract opportunity with a respected healthcare organization.
• Opportunity to work within a leading Revenue Cycle department.
• Potential for contract extension or permanent employment based on performance.
• Collaborative and supportive work environment.
• Gain valuable experience using EPIC and advanced scheduling workflows.

Job Details

• Position: Patient Access Representative
• Location: Worcester, MA
• Duration: 13 Weeks (Potential Extension/Permanent Hire)
• Schedule: MondayFriday | 8:30 AM 5:00 PM
• Hours: 40 hours per week
• Weekend/Holiday Rotation: Required
• Work Setting: 100% Onsite