Patient Access Specialists are instrumental in ensuring the efficient and effective flow of patient access needs as well as initiating the revenue cycle throughout Billings Clinic. Responsible for providing excellence in customer service by greeting, registering and gathering appropriate information for clinical, patient financial services, regulatory and meaningful use. Included are appropriate demographic and insurance information, scheduling appointments, collection of co-payments and self-pay deposits and posting payments into the billing system. Position must fully understand the ramifications and impacts of incomplete or inaccurate information as it relates to clinical staff and the revenue cycle.

Essential Job Functions

•Supports and models behaviors consistent withBillings Clinic’s mission, vision, values, code of business conduct and serviceexpectations. Meets all mandatory organizational and departmental requirements. •Maintainscompetency in all organizational, departmental and outside agency standards asit relates to the environment, employee, patient safety or job performance.
•Responsible for patients’ and guests firstimpressions of Billings Clinic and clinical departments. Using best practicesin customer service by greeting patients, identifying and entering accuratepatient specific information to include demographics, guarantor information,subscriber and insurance information. •Responsible for initiating the revenuecycle for timely billing and possible insurance follow up.
•Competently and courteously educates patients aboutvarious forms that may require their signature. •Forms may include but not belimited to the following.
•Conditions of Service COS,Notice to Medicare Beneficiaries on Provider Based literature, •Notice of Privacy Practices NOPP
•Patients’ Rights, MinorConsent
•Notice of Plan Limitations,Medicaid Passport Notification of Responsibility
•Motor Vehicle Accident patient screening
•My Billings Clinic, Workers Compensation, SystemDowntime
•Validates insurance(s) using IntelliSource andanalyzes electronic responses ensuring appropriate set-ups, which may bedependent upon State where services are to be rendered.
•Coordinates with patients, internal and externalproviders, nursing staff to ensure Medicaid Passport authorizations areobtained and entered.
•Schedules and coordinates appointments in a mannerthat meets the patient’s needs and each individual provider’s schedulingprotocols for the various appointment types, lengths of appointments and anypre-appointment requirements. May instruct patients on specific preparationsand/or restrictions necessary to prepare for ancillary procedures as defined byclinical protocols.
•Provides in-person marketing for Billings Clinic’spatient portal. Explains functionality of the portal and sends electronicinvitations to patients for access and establishment of their connection.Should understand that portal sign-up and usage is directly tied to BillingsClinic’s ability to receive additional Government funding.
•Initiates collection of copayments and deposits inaccordance with each patient’s individual insurance or self-pay requirements.Accepts cash, checks and credit cards and payroll deductions. Accepts paymentson accounts. Maintains operating cash and collections and balancing to on-linerecords, daily.
•Posts all payments directly onto patients’ accountswithin the revenue cycle system. Ensures payment to Billings Clinic for creditand debit card transactions by obtaining electronic authorizations at the timeof payment collection.
•May schedule ancillary services. May instructpatients on specific preparations and/or restrictions necessary to prepare forancillary procedures. May involve other departments as needed for regulatoryrequirements.
•Reviews and analyzes AccuReg edits and completescorrections in accordance with AccuReg worklists daily.
•Performs other duties as assigned or needed to meetthe needs of the department/organization.