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Kent Campus Hospital
STATUS:Full Time 80 Hours
SHIFT: Nights
GENERAL SUMMARY:
Summary:
Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process including point of service payments. Provides payment estimates for out-of-pocket costs. In this role the PAS I is assigned to one department/location.
The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one-year patient registration experience in the assigned department is required for consideration for PAS II.
ESSENTIAL FUNCTIONS & ACCOUNTABILITIES:
1. Customer Service; meets the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.
2. Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secures patient signatures for required forms.
3. Enter data related to procedures, tests, and diagnoses (when applicable). Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines.
4. Obtains and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
5. Identify the patient using two factor identification. Complies with EMTALA regulation when creating the quick registration account (when applicable).
6. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
8. Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their co-payments, deductibles, co-insurance, deposit amounts and outstanding balances. Documents payments/actions in the EHR and provides the patient with a payment estimate (when applicable). Follows cash drawer balancing procedures, as appropriate, reconciles payments against deposit totals.
9. Review and resolve account errors in assigned work queues.
10. Maintain qualitative and quantitative individual and team performance targets.
11. Responds to disaster and mass casualty situations in a calm and appropriate fashion. Maintains and understands the emergency management processes and procedures specific to that unit.
12. Adheres to department and system policies. Interact with co-workers, visitors, and other staff consistent with the Bayhealth values.
13. Scheduling (as applicable) may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
14. Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process. Accurately complete reception duties in accordance with policies.
15. All other duties as assigned within the scope and range of job responsibilities.
REQUIRED MINIMUM EDUCATION AND CREDENTIAL:
EXPERIENCE:
Required: One (1) year in a customer service role.
Preferred: Experience in healthcare or medical office environment. Knowledge of medical terminology.
PREFERRED EDUCATION AND CREDENTIAL:
To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/
Full Time
Ancillary Healthcare
$39k-50k (estimate)
07/29/2023
06/02/2024
bayhealthdevelopment.com
EMERYVILLE, CA
<25
2015
<$5M
Ancillary Healthcare
BayHealth is a UCSF Health and John Muir Health joint venture company focused on infrastructure development supporting the needs of the Canopy Health accountable care network, and serving as a joint strategic investment vehicle in support of the UCSF/JMH affiliation. We are deeply committed to value creation in the Canopy Health network and our shared vision with UCSF/JMH for innovation in patient experience, access, affordability and quality of care.
The job skills required for Patient Access Specialist I include Customer Service, Scheduling, Patient Registration, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient Access Specialist I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient Access Specialist I. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Patient Access Specialist I positions, which can be used as a reference in future career path planning. As a Patient Access Specialist I, it can be promoted into senior positions as an Operating Room 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 I. You can explore the career advancement for a Patient Access Specialist I 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.
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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.
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Step 3: View the best colleges and universities for Patient Access Specialist.