Patient Access Specialist (OCC) - PRN

St. Tammany Parish HospitalCovington, LA
Onsite

About The Position

The Patient Access Specialist is responsible for completing efficient and organized processes in the areas of registration, check-in/check-out, admission, insurance initiation and verification and benefit research for inpatients/outpatients and scheduling of appointments. Excellent customer service skills are crucial in these roles as well as flexibility in work shifts. The Patient Access Specialist must ensure that accurate information is collected, that they are always sensitive to the confidentiality of this information, and that patients are aware of their rights as determined by HIPAA regulations and company policy, and that they are a consistent proponent of patient throughput and volume growth. The Outpatient Cardiology Center Patient Access Specialist responsibilities include duties such as verifying insurance coverage, benefits, completing registration in EPIC, receiving, maintaining, clarifying, entering and/or validating physician orders, scheduling appointments for all Cardiovascular Services departments, handling daily batching and posting of point of service payments and having conversations with patients to resolve previous and current balances. Maintains a positive relationship with healthcare team and is a resource to physicians, staff and patients for information regarding orders, insurance and referrals, as well as any other issues that might impact the relationship/experience of these stakeholders.

Requirements

  • High school diploma or equivalent
  • At least 1 year of previous customer service experience in an office/medical office environment including scheduling, admitting, and/or financial counseling

Nice To Haves

  • Some college preferred
  • Excellent written and verbal communication skills demonstrating the ability to communicate effectively and courteously with physician office staff, patients, and/or insurance carriers
  • Ability to work in a fast-paced professional environment
  • The ability to work flexible hours and different locations (i.e. provider clinics, specialty clinics, outpatient and inpatient registration areas, emergency room registration, scheduling, and pre-certification)
  • Demonstrated competency to successfully perform Patient Access Representative duties which would typically be obtained through 12 months direct experience
  • Ability to understand and solve complex problems dealing with governmental entitlement programs, commercial insurance requirements, contractual obligations, and reporting requirements
  • Ability to apply the use and terminology associated with CPT and ICD-10 coding, as well as basic anatomy/physiology, and out-patient diagnostic testing medical terminology, Medicare guidelines, HMO and PPO contracts and other insurance billing processes
  • Excellent organizational skills
  • Maintains a professional and neat work environment

Responsibilities

  • Verifying insurance coverage and benefits
  • Completing registration in EPIC
  • Receiving, maintaining, clarifying, entering and/or validating physician orders
  • Scheduling appointments for all Cardiovascular Services departments
  • Handling daily batching and posting of point of service payments
  • Having conversations with patients to resolve previous and current balances
  • Maintaining a positive relationship with the healthcare team
  • Acting as a resource to physicians, staff and patients for information regarding orders, insurance and referrals
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