Access Care Specialist
About The Position
As our Access Care Specialist, you will preregister and register patients, explaining policies and financial responsibilities, and facilitating efficient admissions. Every day, you will manage full patient financial clearance, from accurately identifying data and verifying insurance to explaining payment assistance programs and securing payment or completing applications for government aid and our Payment Assistance. This includes collecting liabilities, calculating payments, and interviewing patients to resolve outstanding information. To be successful in this role, you must demonstrate strong organizational skills, effective communication, and meticulous attention to detail in data collection and financial processes, combined with a compassionate approach to patient interactions and a thorough understanding of insurance/assistance programs.
Requirements
- High School Graduate or GED
- Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role
- Minimum 1 year of experience in customer service, preferably in a healthcare environment.
- Fire Safety, within 90 Days
Nice To Haves
- 3 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role
- Customer service exp in health care environment.
Responsibilities
- Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units.
- Ensures the pre-registration process is complete for all assigned accounts at least 5 days before the scheduled date of service whenever possible.
- Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting.
- Obtains referral, authorization, and pre-certification information and documents this information in the ADT system.
- When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, within 24 hours or the next business day.
- Meets CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other applicable requirements, and documents completion within the hospital's information system for regulatory compliance and audit purposes.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
