Patient Access Specialist

UnitedHealth Group•Boulder, CO

17d•$16 - $29•Onsite

About The Position

The Patient Access Specialist is responsible for the smooth operation and flow of patients within the registration area. This includes greeting patients, providing information, answering phones, registering patients and entering exam orders as required. They are also responsible for obtaining all demographics, insurance information, appropriate codes, and authorizations from patients (or their representatives) and physicians in a courteous and efficient manner for billing. Other duties pertinent to optimal patient experience, patient flow, and efficient staff utilization are also expected.

Requirements

High School Diploma/GED
Ability to work 25-30 hours/week, primarily Saturday and Sunday with occasional weekday coverage from 7:00am – 7:00pm

Nice To Haves

Experience with Microsoft Office products
Experience in Customer Service Role
Experience with Medical Records
Experience in a Hospital Patient Registration Department, Physician office or any medical setting
Experience in insurance reimbursement and financial verification
Experience in requesting and processing financial payments
Working knowledge of medical terminology
Understanding of insurance policies and procedures
Ability to perform basic mathematics for financial payments
Strong interpersonal, communication and customer service skills

Responsibilities

Interview patient to obtain demographic, billing, and insurance information and complete all registration steps
Locate and process provider requisitions
Determine insurance eligibility
Determine patient payment and collect payment on insured and self-pay accounts
Obtain signatures for necessary paperwork including, but not limited to, financial agreements and medical release, etc.
Demonstrate thorough knowledge of EMTALA regulations
Problem solves account registration issues when working reports and/or patient concerns
Prioritize work according to departmental need
Maintain proficiency on all necessary software modules
Exercise good judgment in referring complex situations to the appropriate leadership team member
Respond to patient questions, concerns and feedback, referring them to appropriate lead or supervisor
Responsible for meeting all competencies as listed on the Competency Based Orientation and regularly scheduled competency check-offs
Employees are expected to comply with all regulatory requirements, including Joint Commission Standards
Is familiar with organization, department, and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials communications, Emergency Preparedness, Infection Control, and Medical Equipment failure
Must adhere to Universal Precautions which includes: a) The use of protective barriers as appropriate; gloves masks gowns pocket masks safety glasses, b) Handling and disposing of infectious waste appropriately, c) Hand washing as appropriate
Keep up to date with all hospital policies and procedures
Assist with coverage of open shifts when needed
Attend staff meetings and all mandatory meetings as required
Complete required hospital-wide trainings as required
Report all supply needs, work related problems, or injuries to leadership
Read and return all e-mail, phone calls
Responsible for time keeping, clocking in and out according to established guidelines, as well as, reporting absences, leaves, and tardiness according to policy
Ensure that all supplies and forms are stocked in the area
Assists with other duties as requested