Patient Access Specialist I

Parrish Medical Center•Titusville, FL

About The Position

The Patient Access Specialist I reports to the Patient Access Manager and/or Supervisor and performs scheduling or authorization duties. The role promotes and demonstrates Parrish Healthcare’s Culture of Choice®. It involves interviewing patients to collect demographic, insurance, and clinical information for entry into the electronic medical record (EMR), contacting providers as needed, and applying knowledge of scheduling and authorization processes for common insurance carriers for hospital and clinic services. The position is expected to exemplify Parrish Healthcare’s culture and philosophies and provide professional, exemplary customer service in accordance with H.E.A.R.T. guidelines. The specialist ensures that information entered into systems is accurate and complete; completes required verifications, signatures, and authorizations promptly; explains relevant policies and processes; and obtains and files supporting documentation according to policy. The role also involves communicating with physician offices and ancillary departments, handling incoming and outgoing calls, meeting department interaction targets, following operating policies and regulatory requirements, completing required education, and identifying and reporting problems to department leadership.

Requirements

High school diploma or GED.
Follow EMTALA, HIPAA, and other applicable regulatory guidelines.
No prior work experience is required.

Nice To Haves

One to two years of related experience preferred.

Responsibilities

Provide professional customer service in all interactions, following H.E.A.R.T. guidelines.
Obtain and accurately enter complete patient demographic, insurance, and clinical information into the system.
Complete required verification, signature, and authorization processes accurately and promptly.
Understand and explain policies related to services, medical necessity, scheduling, and authorizations.
Obtain or create supporting documentation and save it according to policy.
Work with physician offices and ancillary departments, providing information or forwarding relevant documents as needed.
Answer incoming calls promptly and professionally and meet department targets for completed interactions.
Make outgoing calls to patients and providers to schedule appointments or obtain updated or corrected order information, meeting department interaction targets.
Perform duties according to standard operating policies or generally accepted practices, meeting performance expectations and required timeframes.
Attend in-service presentations and complete mandatory education, annual net learning modules, and other assigned classes by their deadlines.
Adhere to the Code of Conduct, Mission and Value Statement, EMTALA, HIPAA, and other regulatory guidelines.
Proactively identify departmental or hospital problems and issues and inform the department leader.
Know fire, disaster, and safety procedures and regulations applicable to the work area.
Perform similar or related duties as assigned.