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Patient Access Specialist
Covelo Group Burlington, MA
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$42k-52k (estimate)
Full Time 1 Week Ago
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Covelo Group is Hiring a Patient Access Specialist Near Burlington, MA

The Patient Access Specialist provides convenient access to services for patients and minimizes financial risk to the organization. The Patient Access Specialist will maximize reimbursement by efficiently scheduling and pre-registering patients for their upcoming service at the hospital as well as promoting accuracy and timeliness of data processing and maintaining customer services objectives. This role includes scheduling the patient, updating insurance and demographic information, performing medical necessity checks as appropriate, verifying the authorization was initiated by the physician's office, and initiating financial account processes and educating patients regarding policies, procedures, expectations and financial responsibilities.
Provides outstanding and professional Customer Service to all internal and external customers.
Description
  • Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere
  • Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary
  • Maintains patient confidentiality per HIPAA regulations
Specific Responsibilities
  • Provides exceptional customer service to patients which establishes a positive first impression of hospital. Exceeds all consumer requests and alerts management of issues or concerns that require escalation
  • Correctly identifies and collects patient demographic information in accordance with organization standards
  • Interacts with various hospital departments and physician's offices to effectively schedule and direct patients through the hospital systems in a patient/customer-friendly manner
  • Reaches out to patients to schedule an appointment as defined
  • Performs medical necessity checks as necessary for scheduled services, communicates options to the patient if appointment fails
  • Informs patients of any issues with securing the financial account for their encounter
  • Completes out-of-pocket estimations as requested by patients
  • Provides training and education as needed
  • Manages work schedule efficiently, completing tasks and assignments on time
  • Completes other duties assigned by the manager. Cross-training between various departments will take place to ensure coverage
  • Participates in Quality Assurance reviews to ensure the integrity of patient data information
  • Uses effective service recovery skills to solve problems or service breakdowns when they occur
  • Utilizes department and hospital policies and procedures to complete assigned tasks
  • Adherence to all department policies and compliance requirements
  • Avoids putting patients in financial or safety risk
  • Other duties as assigned
Communication and Collaboration
  • Communicate information to the patient regarding questions about physician referrals, insurance referrals, and consultations. Collects authorization numbers in appropriate systems as applicable
  • Provides a professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within hospitals campus
  • Communicate customer satisfaction issues to appropriate individuals
  • Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others
  • Interacts with internal customers to provide excellent support service to staff in departments that provide direct patient care
  • Accommodates all levels of communication ability
Technology
  • Utilizes multiple online order retrieval systems to verify or print the patient's order
  • Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary
  • Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic
  • Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position
  • Runs real-time eligibility (RTE) on all patients to verify insurance and follows out-of-network policies as applicable
  • Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct
Efficiency, Process Improvement, and Business Growth
  • Proactive in preventing issues with patient visits by double-checking type of test preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensure there are no duplicate patient records
  • Understands minimum data set required for a complete registration, collects and verifies critical data, and updates that information into the registration system
  • Understands departmental and individual quality metrics
  • Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions
  • Evaluate procedures and suggests improvements to enhance customer service and operational efficiency
  • Participates in departmental quality improvement activities
  • Provides ideas and suggestions for process improvements within the department
  • Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards
  • Adjusts processes as needed to meet standards
  • Uses organizational and unit/department resources efficiently
  • Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information
  • Understands that schedule may change to reflect shifting business needs
  • Evolves and learns as healthcare policies change
Required:

  • High School diploma or equivalent
  • 2-3 years of customer service or medical office experience
  • Excellent interpersonal, verbal, and written communication skills
  • Proficiency in computer data entry/typing
  • Excellent verbal and written communication skills
  • Ability to read, write, and communicate effectively in English
  • Basic Computer Skills
  • Ability to type 40 wpm
  • Ability to multi-task
  • Customer service-oriented
  • Excellent organizational, time management, analytical, and problem-solving skills
Preferred:
  • Additional education
  • Additional language skills
  • Healthcare finance and/or healthcare insurance experience
  • Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration
Population Served:
  • Internal: Incumbents in this position communicate with physicians and all levels of employees in hospital
  • External: Patients and their families and representatives, physician offices, other health care agencies, and health care providers, insurance companies and financial agencies, and contracted outside services

Job Summary

JOB TYPE

Full Time

SALARY

$42k-52k (estimate)

POST DATE

05/01/2024

EXPIRATION DATE

05/20/2024

WEBSITE

covelogroup.com

HEADQUARTERS

SCOTTSDALE, AZ

SIZE

100 - 200

FOUNDED

2006

CEO

DAVID T ZOWINE

REVENUE

$10M - $50M

INDUSTRY

Business Services

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About Covelo Group

MGA Healthcare is now Covelo Group. Covelo is continuously creating opportunity and accelerating growth within the healthcare space. We work with top-ranked hospital systems throughout California such as UCSF Medical Center, Stanford Medical and UCLA Medical Center, to place candidates in a variety of clinical and non-clinical positions. Our candidates know we offer amazing opportunities to get their foot in the door with top healthcare facilities. And, our clients know they can count on us anytime of day to deliver highly-skilled, qualified and vetted candidates. Weve been working in the heal...thcare space since 2004, allowing us to grow and develop strong relationships with the best hospital systems. More
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The following is the career advancement route for Patient Access Specialist positions, which can be used as a reference in future career path planning. As a Patient Access Specialist, it can be promoted into senior positions as a Patient Accounts Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Access Specialist. You can explore the career advancement for a Patient Access Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Patient Access Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Patient Access Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Patient Access Specialist job description and responsibilities

As an essential member of the Revenue Cycle team, Patient Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers.

03/17/2022: Tuscaloosa, AL

Educating patients and their caregivers on hospital policies, admission and discharge procedures, visitation schedules and clinical protocols.

01/29/2022: Roanoke, VA

Maintains patient confidentiality per HIPAA regulations.

01/11/2022: Daytona Beach, FL

Preparing documents for admitting and discharging patients from the hospital.

12/22/2021: Canton, OH

Under general supervision, performs complex level customer service functions primarily related to patient registrations.

01/27/2022: San Jose, CA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Patient Access Specialist jobs

Maintain positive working relationships with patients, physicians, visitors, and hospital staffs.

03/11/2022: Spartanburg, SC

Patient access representatives may pursue professional certification to showcase their skills and expertise, such as the Certified Patient Care Technician (CPCT) credential.

02/01/2022: Portland, ME

Strong commitment to providing an outstanding patient experience.

03/03/2022: Huntington, NY

Practice customer service skills for dealing with patients.

02/16/2022: Fresno, CA

Must have strong knowledge of Patient Access functions and Front End billing processes.

02/08/2022: Greenville, SC

Step 3: View the best colleges and universities for Patient Access Specialist.

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