Patient Access Specialist

St. Luke's Hospital•Chesterfield, MO

1d•Onsite

About The Position

We are dedicated to providing exceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades . Position Summary: Acts a patient liaison upon arrival to initiate patient flow and operations necessary to comply with managed care contracts and CMS regulations. Conducts face to face interview with patient to achieve successful clinical outcome and maintain charge integrity in clinically driven revenue cycle . Processes patient accounts in accordance with the departmental and institutional policies and procedures . Responsible for accurate registration of patient demographics and insurance and assures the validity of incoming data, corrects information as needed, and processes the registration including explaining and obtaining the patients signature on the Consent for Admission/Treatment, Release of Information/Assignment of Benefits and Financial Responsibility, and completing Medicare Secondary Payer (MSP) questionnaire. Collects proper consent for Missouri Health Connection to share PHI data . Assess and interpret Medical Necessity guidelines with providers to prevent denials and to comply with CMS regulations to formally notify patient via the appropriate format of their rights and limitations . Documents actions taken, answers inquiries involving patient registrations and researches problems to assure payment . Scans documents to the patient’s medical record via Cerner Imaging Functions . Verifies insurance eligibility and benefits to notify patients of expected financial responsibility and collect at the time of service . Provides financial counseling concerning payment options with patients and financial assistance . Reviews provider orders for accuracy and completeness and follows up with physician offices as needed. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke’s mission and values.

Requirements

High School Diploma Required.
Computer literate, with keyboard skill of 35-40 words per minute.
Knowledge of medical terminology; medical terminology certificate helpful.
One year or more of work experience in various areas of medical field, Healthcare scheduling preferred.
Knowledge of CPT and ICD-10 coding

Nice To Haves

Associate Degree preferred
Healthcare scheduling preferred.
medical terminology certificate helpful.

Responsibilities

Acts a patient liaison upon arrival to initiate patient flow and operations necessary to comply with managed care contracts and CMS regulations.
Conducts face to face interview with patient to achieve successful clinical outcome and maintain charge integrity in clinically driven revenue cycle
Processes patient accounts in accordance with the departmental and institutional policies and procedures
Responsible for accurate registration of patient demographics and insurance and assures the validity of incoming data, corrects information as needed, and processes the registration including explaining and obtaining the patients signature on the Consent for Admission/Treatment, Release of Information/Assignment of Benefits and Financial Responsibility, and completing Medicare Secondary Payer (MSP) questionnaire.
Collects proper consent for Missouri Health Connection to share PHI data
Assess and interpret Medical Necessity guidelines with providers to prevent denials and to comply with CMS regulations to formally notify patient via the appropriate format of their rights and limitations
Documents actions taken, answers inquiries involving patient registrations and researches problems to assure payment
Scans documents to the patient’s medical record via Cerner Imaging Functions
Verifies insurance eligibility and benefits to notify patients of expected financial responsibility and collect at the time of service
Provides financial counseling concerning payment options with patients and financial assistance
Reviews provider orders for accuracy and completeness and follows up with physician offices as needed.
Responsible for promoting teamwork with all members of the healthcare team.
Performs duties in a manner consistent with St. Luke’s mission and values.