Patient Access Specialist

Riverview Health•Noblesville, IN

48d•Onsite

About The Position

The Patient Access Specialist is responsible for ensuring accurate and complete patient registration, including obtaining demographic, clinical, billing, insurance, and financial information. This role involves interviewing patients, coordinating with various departments, managing up-front collections, and maintaining compliance with EMTALA and HIPAA regulations. The Specialist will also be trained to work in all areas of Patient Registration and Switchboard operations, order supplies, and train other Patient Access Associates. Specific objectives include maintaining a high annual appraisal score, registering a target number of patients per shift with a low error rate, and performing other assigned duties.

Requirements

Minimum: High School Diploma or equivalent.
Minimum: Three (3) or more years of customer service or related experience.
Must maintain an annual appraisal score of 2.0 or greater.
Consistently be able to register 40 patients per 8-hour shift with the possibility of more than 40 if work load dictates.
If working non-patient registrations during this 8-hour shift, consistently register around 60 per day.
Each Specialist is expected to maintain a 3% or less weekly error rate.

Nice To Haves

Preferred: High School Diploma and Certified HealthCare Access Associate (CHAA) Certification or national recognized PFS Certification.
Preferred: Three (3) or more years of experience in Patient Access Registration in an acute care hospital and/or physician office setting.

Responsibilities

Ensure all documents are properly signed and witnessed as required.
Maintain and apply knowledge of current registration requirements.
Advise and coordinate patient account information with other department staff, clinical staff, and/or UR/Case management.
Work well under pressure and remain calm while maintaining positive patient and physician relations.
Recognize accounts that should be referred to management for assistance.
Evaluate patient visits/registrations and make recommendations for corrections as needed.
Call insurance companies for precertifications and authorizations.
Serve as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with hospital policy.
Complete inventory and order specific supplies for the department and keep supplies in proper storage areas.
Maintain compliance with EMTALA and HIPAA rules and regulations.
Interview the patient/guarantor to obtain complete demographic, clinical, billing, insurance, and financial information.
Work all areas of Patient Registration and Switchboard daily operations.
Train other Patient Access Associates in all duties.
Perform other duties as assigned.