Position Title: Patient Access Specialist Department: Business Office/Clinics Level I Supervisor’s Title: Revenue Cycle Manager/Clinic Managers Level I – General Front Desk, Clinic or Hospital A.
Responsible for registering patients efficiently and accurately, greeting patients and visitors in person or by phone, and verifying insurance eligibility. B. Principle Functions and
Registers all patients for both acute and ambulatory settings. Coordinates night quick admit registration from hardcopy form to permanent computer records. Monitors patient census and notifies appropriate Department Manager of admission status.
Pre-registers any necessary patient accounts and maintains those preregister accounts by completing them after patient arrives or is discharged. Responsible for scanning all patient registration forms into electronic medical record system. Maintains standing orders for Laboratory patients.
Receives notification of patient discharges from nursing station and enters discharges into computer. Collects and processes copays, deductibles, and co-insurance payments from patients via in-person or over the phone. Processes incoming mail and distributes to appropriate departments.
For payments received via mail, logs patient account numbers on checks, and places remittance slips in the daily folder. Responsible for scanning patient insurance remits into appropriate file folders. Responsible for occasional duties of monitoring and organizing incoming faxes and print jobs related to the hospital-wide copy and fax machines.
Maintains positive and effective relations with co-workers, other departments, patients, and visitors. Generates estimates of procedures/services/visits for patients. Attends meetings and completes assigned trainings as required.
On occasion, may be required to work holidays, overtime, night or weekend shifts. Required to cross-train in all registration areas and will rotate to work a shift in each area at least once per quarter. Answers multi-line phones and/or serves as switchboard operator for all incoming calls; transfers to appropriate areas, when necessary.
Validates prior authorization information from external providers. Notifies appropriate staff/department of patient arrival for STAT procedures or exams. Calls patients for appointment reminders for upcoming appointments (typically, next day appointments).
Schedules patients according to provider scheduling preferences. May occasionally assist with registration audits and corrections. Performs other duties as assigned or requested.
Qualifications C. Position
Minimum
High school diploma or equivalent. Minimum Experience and
Prior experience in a hospital business office or admitting office. Demonstrated proficiency in terms of computer-based word processing, spread sheet and database management. Ability to operate a hospital-wide telephone switchboard.
Data entry and customer service experience a plus. Certification, Registration or
None required Physical Requirements (level I & II): A. Sitting and working at a computer, walking, B. Lifting, reaching, hand eye coordination, speaking.
C. Must be able to read, write, and speak English clearly. Working Conditions (level I & II): A.
Primarily works in an office setting. B. Potential exposure to patient elements in general.
C. Blood Borne Pathogens – potential exposure to blood, body fluids or tissues.
Any