LEAD PATIENT ACCESS SPECIALIST

Premier Health • Dayton, OH

135d

About The Position

This position will be under the supervision of the Access Supervisor/Manager. This Lead Patient Access Specialist will maintain open communication with the Supervisor/Manager on issues, opportunities, and situations involving areas of Access Services. This position must respond and relate to the Supervisor/Manager and team as well as internal and external customers of Patient Access Services. This position is responsible for cross-training staff members as well as cross-training for other positions in the event of unforeseen circumstances. In addition, this position will ensure quality customer satisfaction; assist with audits and goals for the department. The Lead Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements. The Lead Patient Access Specialist must demonstrate Customer Focus and expert Functional/Technical skills while providing financial assessment and evaluation of each patient entering the hospital. The Lead Patient Access Specialist must comprehend the hospital’s financial policies, possess the ability to apply it to the patient, and secure payment for the patient’s hospital liability. Lead Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Lead Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights.

Requirements

• High School completion / GED required.
• Associates Degree preferred in healthcare or related business field.
• Minimum 1 - 3 years of job-related experience required.
• At least two years’ experience in customer service and general clerical/office procedures required.
• Typing test 25 words per minute preferred.
• Medical Terminology certification preferred.

Nice To Haves

• Customer service experience in a hospital, medical office/clinic, or insurance company preferred.
• Overall knowledge of third party collections, registration, billing and contracts preferred.
• One-year experience in a hospital, medical office/clinic, or insurance company preferred.

Responsibilities

• Maintain open communication with the Supervisor/Manager on issues, opportunities, and situations involving areas of Access Services.
• Cross-train staff members and for other positions in unforeseen circumstances.
• Ensure quality customer satisfaction and assist with audits and goals for the department.
• Provide financial counseling, collect co-pays and deductibles, and provide financial assistance education to patients and their families.
• Stat register, schedule appointments, and complete registration by collecting and entering all pertinent financial and demographic information into the ADT system.
• Verify insurance benefit information and generate the ABN.
• Review orders for compliance and complete MSP.
• Obtain financial and treatment consents and place ordered medical procedures.
• Obtain pre-certification when applicable while maintaining compliance with regulatory requirements.
• Demonstrate Customer Focus and expert Functional/Technical skills while providing financial assessment and evaluation of each patient.
• Comprehend the hospital’s financial policies and secure payment for the patient’s hospital liability.
• Maintain excellent customer service standards and effectively communicate with physicians, physician offices, patients, and co-workers.
• Ensure patient confidentiality and privacy rights.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees