Access Specialist- ConvenientCare

Geisinger Health System • Danville, PA

304d

About The Position

Provides seamless scheduling of services and financial clearance for patients and referring physician offices. Collects and maintains accurate patient information relating to registration and insurance in compliance with HIPAA guidelines. Facilitates positive multi-channel communications among patients, physicians, clinical staff, outreach sites, and internal departments to serve patient and referring physician needs using advanced writing, telephone, e-mail, and internet skills.

Requirements

• High School Diploma or Equivalent (GED) - Required
• Minimum of 2 years related work experience - Required

Nice To Haves

• Associate's Degree - Preferred

Responsibilities

• Schedules patient appointments, completes accurate pre-registration and insurance verification system wide, for providers including specialty and ancillary services throughout Geisinger.
• Communicates appropriately and effectively with patients, referring physicians, departments, specialties and assigned sites in compliance with customer service standards.
• Understand and comply with all regulatory restrictions within the patient access arena to include HIPPA, MSP, Advance Directives, Medicare - Advanced Beneficiary Notice, Financial Responsibility Form.
• Collaborates with Clinic Operations to assure that all requests are satisfied within the time frame specified by the referring provider.
• Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician-specific scheduling guidelines.
• Processes requests for referrals and obtains the referrals for physician offices in compliance with third party payer referral guidelines and requirements.
• Provides one-call resolution whenever possible.
• Responsible to address patient and referring physician needs pertaining to insurance coverage and benefit eligibility inquiries and appointments.
• Reviews outstanding balances and pre-service patient liability with patients.
• Refers patient for Financial Counseling as appropriate.
• Achieves and maintains service goals related to departmental metrics.
• Achieves and maintains quality and service standards; makes suggestions for improvements to procedures or innovations to enhance the patient experience.
• Scans all information into the patients record that is received from referring providers.
• Provides basic analysis to operations, administration and other teams relating to scheduling and financial clearance.
• Coordinates efforts with clinical and Revenue Cycle departments to resolve referral, appointment, insurance, and other patient appointment-related concerns.

Benefits

• Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: High school or GED