Description

Position Title: Patient Access Specialist

Department: Business Office

Supervisor’s Title: Revenue Cycle Manager

Full Time , Part Time, and Temp positions open

I. Position Summary: Responsible for registering patients efficiently and accurately, greeting patients and visitors in person or by phone, and verifying insurance eligibility.

II. Principle Functions and Responsibilities:

A. Registers all patients for both acute and ambulatory settings.

B. Coordinates night quick admit registration from hardcopy form to

permanent computer records.

C. Monitors patient census and notifies appropriate Department Manager of

admission status.

D. Pre-registers any necessary patient accounts and maintains those preregister

accounts by completing them after patient arrives or is discharged.

E. Responsible for scanning all patient registration forms into electronic medical record system.

F. Maintains standing orders for Laboratory patients.

G. Receives notification of patient discharges from nursing station and

enters discharges into computer.

H. Collects and processes copays, deductibles, and co-insurance payments from patients via in-person or over the phone.

I. 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.

J. Responsible for scanning patient insurance remits into appropriate file folders.

K. Responsible for occasional duties of monitoring and organizing incoming faxes and print jobs related to the hospital-wide copy and fax machines.

L. Maintains positive and effective relations with co-workers, other

departments, patients, and visitors.

M. Generates estimates of procedures/services/visits for patients.

N. Attends meetings and completes assigned trainings as required.

O. On occasion, may be required to work holidays, overtime, night or

weekend shifts.

P. Required to cross-train in all registration areas and will rotate to work a shift in each area at least once per quarter.

Q. Answers multi-line phones and/or serves as switchboard operator for all incoming calls; transfers to appropriate areas, when necessary.

R. Validates prior authorization information from external providers.

S. Notify appropriate staff/department of patient arrival for STAT procedures or exams.

T. Call patients for appointment reminders for upcoming appointments (typically, next day appointments).

U. Schedule patients according to provider scheduling preferences.

V. May occasionally assist with registration audits and corrections.

W. Required to cover shifts when necessary.

X. Greeter assists in guiding patients into facilities and masking

Y. Performs other duties as assigned or requested.

Requirements

III. POSITION QUALIFICATIONS:

A. Minimum Education: High school diploma or equivalent.

B. Minimum Experience and Skills: 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.

C. Certification, Registration or Licensure: None required

IV. Physical Requirements

A. Sitting and working at a computer, walking,

lifting, reaching, hand eye coordination, speaking.

B. Primarily works in an office setting.

C. Potential exposure to patient elements in general.

D. Must be able to read, write, and speak English clearly. Spanish fluency is a plus.