Patient Access Specialist I - Lohman Lab

Halifax HealthDaytona Beach, FL
95d

About The Position

The Patient Access Specialist is responsible for performing duties associated with Scheduling, Pre-registration, Registration, Insurance Verification, and Financial Counseling. Accurately schedule patients being registered for a hospital service. Obtain necessary documents required for scheduling and registration. Promote good public relations at all times, extending a positive, cooperative and supportive service to patients, families and fellow colleagues. Pre-register scheduled accounts via contact with patients, physicians or appropriate information sources. Create accurate and thorough registration records for each patient visit. Secure appropriate signatures, financial information and documents. Identify and collect patient balances. Screen for payer medical necessity requirements and benefit eligibility on appropriate accounts. Coordinate admission reservations and bed placement with nursing. Obtain insurance eligibility, benefits, authorizations, pre-certifications and referrals for inpatient and outpatient, scheduled and non-scheduled visits. Update demographic and insurance information in the system as needed. Initiate collection process by contacting patients/representatives about date of service deductibles, co-insurance and co-payments. Establish financial arrangements with patients according to policy. Act as the primary documentation source for access and billing staff. Interact in a customer-focused and compassionate manner to ensure patients and their representatives' needs are met, and they understand the hospital's financial policies.

Requirements

  • High School Diploma or GED equivalent required; Associate's or Bachelor's degree preferred.
  • Must complete Revenue Cycle Orientation courses within 6 months of hire.
  • Two years of related work experience preferred, preferably in healthcare or customer service.
  • Ability to effectively communicate with individuals from varying socio-economic backgrounds.
  • Familiarity with medical terminology.
  • Ability to accurately verify demographic information and insurance benefits.
  • Ability to operate office equipment such as fax machines.
  • Knowledge of Microsoft Word and Excel.
  • Organizational and time management skills.
  • Customer-service oriented with strong communication skills.
  • Professionalism in verbal and written communication.

Responsibilities

  • Accurately schedule patients for hospital services.
  • Obtain necessary documents for scheduling and registration.
  • Promote good public relations and provide supportive service to patients and families.
  • Pre-register scheduled accounts by contacting patients and physicians.
  • Create accurate registration records for each patient visit.
  • Secure signatures and financial information from patients.
  • Identify and collect patient balances.
  • Screen for payer medical necessity and benefit eligibility.
  • Coordinate admission reservations and bed placement with nursing.
  • Obtain insurance eligibility, benefits, authorizations, and referrals.
  • Update demographic and insurance information as needed.
  • Initiate collection processes for patient balances.
  • Establish financial arrangements with patients.
  • Act as the primary documentation source for access and billing staff.
  • Ensure confidentiality when handling patient information.
  • Communicate with third-party payers for authorizations.
  • Collaborate with patients and clinical departments for information gathering.
  • Enter patients into the tracking system upon arrival.
  • Collect and verify physician orders.
  • Review and explain registration forms to patients.
  • Collect self-pay balances and ensure secure handling of funds.
  • Provide financial assistance applications to patients.
  • Advise patients on financial obligations and payment arrangements.
  • Serve as a resource for funding sources for health services.

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What This Job Offers

Industry

Religious, Grantmaking, Civic, Professional, and Similar Organizations

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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