Full employer posting
Patient Access Specialists will provide hospital personnel, patients, and their families with a seamless and efficient registration experience including scheduling patient appointments. Patient Access Specialists are instrumental in verifying the eligibility of insurance and other forms of reimbursement along with collecting money due at the point of service. All staff will be cross-functionally trained to support all areas of registration.
Patient Access Specialists assigned to the Patient Contact Center may be trained and required to work as switchboard operators. Performs all other duties as assigned. Description: Performs insurance verification and notification for elective, urgent, and emergent bedded patients.
Verifies all demographic information, and obtains signatures as required on the Important Message from Medicare (IMM), Medicare Outpatient/Observation Notice (MOON), and Tricare Rights. Makes required notification of admission to payers within required timeframes. Works closely with the Care Management department to ensure all information necessary for authorization/ongoing certification is present.
Works with patients as needed to obtain information necessary to verify insurance and notify payers. In the normal course of duties and responsibilities, this position requires access to protected health information (PHI) and electronic protected health information (EPHI). The PHI and EPHI accessed are limited to only the minimum necessary amount of PHI and EPHI necessary to perform the functions of this job.
The PHI and EPHI are accessed through various computer applications, contact with patient, Health Information Services, Case Management, and/or other System departments with whom interaction is necessary.