Patient Access Specialist I

Hospital for Special Surgery•New York, NY

2d•$33 - $37•Hybrid

About The Position

How you move is why we’re here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Requirements

High School Diploma or equivalent (G.E.D.), may include specialized or vocational courses.
0-1 years experience in a healthcare related field or customer service oriented position.
Excellent verbal and written communication skills.
Strong customer service orientation.
Basic computer skills, with proficiency in office automated tools: e-mail, outlook and data entry.
Effective communicator with all levels of staff, patients, clinical team and leadership.
Coachable and emotionally controlled.

Nice To Haves

Associate’s Degree
2 years in Healthcare/Medical – Working with prior authorizations
Working knowledge of medical terminology.
Self-directed, motivated, resourceful, demonstrates initiative.
Working knowledge of MS Office Suite applications: Word, Excel, Outlook.
Proficiency in EPIC Prelude and Cadence
Ability to add, subtract, multiply, divide, and calculate percentages
Performs accurate typing at 45-60 wpm
Multilingual
Proficiency in EPIC working with referral-based services.
Knowledge of back-end role in revenue cycle: insurance benefits collection, verification, authorization, pre-certification, etc.
Ability to respond positively to fluctuations in workflow and email volume.
Experience using AI platforms (including natural language processing and machine learning), and ability to interpret and act on AI insights.

Responsibilities

Complies with policies and procedures concerning infection control and safety in order to maintain a safe and comfortable environment for patients, visitors and staff.
Maintains and develops competence through required in-service and continuing educational programs.
Manages time appropriately to meet patient, department, and hospital needs.
Maintains satisfactory attendance record.
Reports for duty punctually.
Effectively communicates with various departments and other parties to disseminate and receive information, as requested/required.
Recognizes and supports the skills and qualities of others. Demonstrates an understanding of other team members' contributions.
Accurately enters all insurance information into the appropriate EMR system.
Reviews insurance information on hospital registrations and admissions to ensure accuracy and to optimize patient experience and ensure timely reimbursement.
Explains financial requirements to the patient or responsible party and collects deposits, co-payments, deductibles, and other out-of-pocket payments as required.
Answers Epic messages, e-mail, and phone messages promptly and courteously.
Accepts constructive criticism and coaching in a positive manner and strives to make personal corrective action a priority.
Adjusts to changing situations and work assignments with a positive attitude.
Improves performance based on results obtained from QA activities.
Attends/participates in staff meetings.
When assigned work is completed, offers to assist others or anticipate and prepares for future assignments.
Works from assigned patient and account work queues, accomplishes adequate share of team case load to meet individual, unit and department goals.
Reports any insurance coverage and /or Managed Care difficulties to departmental leadership, as applicable.
Verifies insurance eligibility using Real Time Eligibility system and/or other eligibility tools as required, calls insurance carriers to obtain pre-certifications and / or authorizations and informs patients and clinicians as to patient’s clearance status to ensure the integrity of the revenue cycle and minimize denials. Coordinates benefit’s, revises EMR and notifies patient as appropriate for role.
Demonstrates flexibility regarding hours, work assignments and cross coverage to other sections, as needed.
Meets departmental performance and quality goals by consistent and accurate data entry; minimizes errors and rework in avoidance of denials.
Maximizes efficiency and productivity, consistently meets productivity and quality standards as set by leadership
Sets and maintains the highest level of service to patients, clinical team, and other hospital departments.
Demonstrates professional and courteous customer services skills by responding timely to patient inquiries.
Places customer service first in all aspects of daily functions.
Promotes teamwork through cooperation.