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 competitive hourly range with shift differentials, a strong benefits package, and a clear foothold in healthcare administration for candidates looking to build a career in hospital operations.
Perks and Benefits
- Hourly pay range: $19.02 – $28.53 per hour
- Shift differentials of $1.00 – $2.50 per hour depending on shift worked
- Holiday pay at time-and-a-half for observed 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 available: 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 at least two Patient Access service areas, including the Emergency Department
- Completes pre-admission and admission workflows, reception, scheduling, and discharge functions
- Obtains complete and accurate patient demographic information; scans and files Protected Health Information (PHI) in compliance with HIPAA standards
- Secures and explains required legal and consent forms: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation
- Verifies insurance eligibility, benefits, and coverage; obtains prior 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 using compliant negotiation techniques before, during, and after date of service; performs hospital cash reconciliation and secured payment entry
- Assists with scheduling diagnostic procedures and coordinating post-discharge care as needed
- Works within a fast-paced hospital administration environment with potential exposure to high patient volumes and acute care settings
- Schedule flexibility required 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 proficiency with PC, CRT, and printer
- Ability to interpret physician orders, medical terminology, and insurance cards accurately
- Understanding of third-party payor requirements and compliance standards preferred
- Must be able to perform essential duties in at least two Patient Access service areas, including the Emergency Department
- Ability to lift/carry items up to 25 lbs occasionally; ability to stand, sit, and walk for extended periods; ability to push a wheelchair to assist patients as needed
- Required to obtain and provide confirmation of all required vaccinations and screenings prior to start of employment, including 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 I-90 corridor — 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 strong public and private schools, a diverse and growing community, abundant recreational opportunities including the Sudbury River watershed and numerous state parks, and a vibrant local dining and arts scene. For clinicians and healthcare professionals seeking proximity to Boston's academic and cultural resources without the urban price tag, Framingham represents a compelling balance of career opportunity and quality of life.