This Patient Access Representative II role is based at Metrowest Medical Center in Framingham, Massachusetts — a full-service acute care hospital serving the greater MetroWest region. The position sits at the front line of the patient experience, handling registration, insurance verification, financial clearance, and admissions across multiple service areas including the Emergency Department. The role offers a defined hourly pay range, shift differential opportunities, and a comprehensive benefits package within a large, established health system.
Perks and Benefits
- Hourly pay range: $19.02 – $28.53 per hour
- Shift differentials of $1.00 – $2.50 per hour available depending on shift worked
- Holiday pay at time-and-a-half for all observed company holidays (10 paid holidays per year)
- Paid time off (vacation and sick leave) — minimum 12 days per year, accruing at approximately 1.84 hours per 40 hours worked
- 401(k) retirement plan with up to 6% employer match
- Medical, dental, vision, disability, and life insurance
- Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)
- Employee Assistance Program and employee discount program
- Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, AD&D, auto and home insurance
Practice Highlights
- Performs full patient registration at date of service across multiple Patient Access service areas, with required competency in at least two areas including the Emergency Department
- Completes pre-admission and admission workflows, reception, scheduling, and discharge functions
- Secures and explains all required legal and compliance forms: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation
- Conducts insurance verification, benefits and eligibility checks, and obtains authorizations for both scheduled and unscheduled hospital services; provides inpatient visit notification to payors
- Performs medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services (CMS) requirements
- Collects patient financial liabilities before, during, and after date of service using compliant negotiation techniques; performs hospital cash reconciliation and secured payment entry
- Scans and manages Protected Health Information (PHI); creates and files patient information packets for upcoming services
- Assists with scheduling diagnostic procedures and coordinating post-discharge care as needed
- Interprets physician orders, medical terminology, and insurance cards in a fast-paced hospital environment
- Schedule flexibility required — hours and days based on departmental and system demands
Qualifications
- High School Diploma or GED required; some college coursework preferred
- 0–1 year of customer service experience; 0–1 year of administrative experience in a medical facility, health insurance, or related field preferred
- Minimum typing speed of 35 words per minute
- Demonstrated working knowledge of PC, CRT terminal, and printer operation
- Ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department
- Understanding of third-party payor requirements and compliance standards preferred
- Knowledge of hospital environment functions and interdepartmental relationships preferred
- Must meet all required pre-employment vaccination and screening requirements, which may include COVID-19 and influenza vaccinations
About the Community
Framingham is the largest city in the MetroWest region of Massachusetts, situated approximately 20 miles west of Boston along the Massachusetts Turnpike — offering easy access to a major metropolitan area while maintaining a distinct suburban character with a lower cost of living than the city proper. The area features a diverse, vibrant community, strong public and private school options, abundant recreational opportunities around the Sudbury River and nearby state parks, and a thriving local dining and arts scene. For clinicians and healthcare professionals seeking proximity to Boston's academic and cultural resources without the urban cost and pace, Framingham represents a compelling balance of career opportunity and quality of life.