What are the responsibilities and job description for the Patient Access Specialist position at El Dorado Community Health Centers?
Brief Description
JOB SUMMARY: Under the direct supervision of the Patient Access Manager; this position is responsible for operator duties, accurately using the electronic medical record to register and schedule patients within Center and HIPAA parameters. The Patient Access Specialist works in a team environment, is customer service oriented and patient focused.
Job Duties And Responsibilities
KNOWLEDGE, SKILLS AND ABILITIES
QUALIFICATIONS
Experience
To qualify for this position, an individual must possess any combination equivalent to sufficient experience and/or education that would likely produce the required knowledge, skill, and ability requirements listed above. A typical way to acquire the required qualifications would be:
At least one year of experience in a call center, medical office or community clinic performing client reception or billing functions.
Education And Certification
High School Diploma
CPR certification recommended
Other
Physical Requirements:
Normal health center/interior office environment: see, hear, talk, walk or move about, sit and/or stand for long periods of time, reach, stoop, bend, lift up to 25 lb.; repetitive hand movement; use and view a computer; use a calculator, operate fax, copier, telephone; read and write English.
JOB SUMMARY: Under the direct supervision of the Patient Access Manager; this position is responsible for operator duties, accurately using the electronic medical record to register and schedule patients within Center and HIPAA parameters. The Patient Access Specialist works in a team environment, is customer service oriented and patient focused.
Job Duties And Responsibilities
- Obtain and verify client insurance, and co-pay information.
- Answer the telephone promptly; generate and assign telephone encounters, answer questions, route calls to the appropriate employee, schedule client appointments, prioritize calls and refer to community resources when appropriate.
- Promptly notify the Patient Access Manager of potential issues impacting client relations, scheduling, or other disruptions to clinic operations to ensure timely resolution and service continuity.
- Verify patient eligibility, if applicable, with Medi-Cal and CMSP insurance products.
- Follow all confidentiality and HIPAA requirements.
- Make outgoing calls as directed by supervisor to address rescheduling of appointments, reminder calls, and special project notifications.
- Assist in interpreting for non English-speaking clients if sufficiently proficient in theclient’s language.
- Screens prospective new patients for eligibility, connects individuals to appropriate providers or services, and distributes New Patient Applications in accordance with organizational guidelines.
- Support and contribute to efforts to maintain and improve client satisfaction in all aspects of health care delivery.
- Participate in outreach activities such as agency-sponsored health fairs/events when needed.
- Follow all safety procedures and report unsafe conditions to ensure an injury-free work environment.
- Use appropriate ergonomic measures to reduce risk of work-related injuries.
KNOWLEDGE, SKILLS AND ABILITIES
- Clinic policies and procedures.
- Medical terminology.
- General information about CPT, ICD-10 and HCPCS coding and insurance billing.
- HIPAA
- California consent to treat laws as applicable to a primary care setting.
- Excellent customer service.
- Operating within a high-volume call center; displaying excellent phone skillswith professional demeanor, active listening skills, and a clear telephone voice.
- Effective oral and written communication; bilingual (English/Spanish) preferred.
- Using a computer for word processing and e-mail.
- Share the EDCCHC mission and work well in a team environment.
- Develop rapport and work with people of all ages, cultural, religious, social and ethnic backgrounds.
- Be courteous and utilize professional behavior in all interactions with the public and staff.
- Maintain the highest level of confidentiality of client information; HIPAACompliance.
- Make decisions within certain prescribed limits according to Policies and Procedures.
- Determine priorities in workload and meet established deadlines.
- Work in a fast-paced environment with frequent interruptions and maintain a positive disposition at all times.
- Be flexible in accepting, changing or carrying out assignments.
QUALIFICATIONS
Experience
To qualify for this position, an individual must possess any combination equivalent to sufficient experience and/or education that would likely produce the required knowledge, skill, and ability requirements listed above. A typical way to acquire the required qualifications would be:
At least one year of experience in a call center, medical office or community clinic performing client reception or billing functions.
Education And Certification
High School Diploma
CPR certification recommended
Other
Physical Requirements:
Normal health center/interior office environment: see, hear, talk, walk or move about, sit and/or stand for long periods of time, reach, stoop, bend, lift up to 25 lb.; repetitive hand movement; use and view a computer; use a calculator, operate fax, copier, telephone; read and write English.