The Patient Access Specialist reflects the mission, vision, and values of Northwestern Medicine, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. This role ensures patient safety and satisfaction through courteous, timely and accurate registration. The specialist collects and enters pertinent patient information and informs patients of hospital policies and procedures. They demonstrate I-CARE values (Integrity, Compassion, Accountability, Respect and Excellence) in daily work and interactions, presenting a friendly, approachable, professional demeanor and appearance. The role involves providing accurate information and timely updates to patients and customers, addressing questions and concerns promptly, or identifying the appropriate person and resources to do so. Additionally, the Patient Access Specialist provides directions or help to patients and customers with finding their way, uses effective service recovery skills to solve problems or service breakdowns, and demonstrates teamwork by helping co-workers within and across departments. They communicate effectively with others, respect diverse opinions and styles, and acknowledge the assistance and contributions of others. The role requires efficient management of work schedule, completing tasks and assignments on time, and contributing to opportunities and processes for continuous improvement, including efforts to reduce costs, streamline work processes, and improve and grow services. The Patient Access Specialist demonstrates knowledge of the Revenue Cycle and the impact of Patient Access on all areas, from point of service collections to timely and accurate billing. They are proficient in navigating multiple computer systems and accurately completing and scanning required documents such as Consents, MFM, Coordination of Benefits, insurance cards, photo identification, and any other paperwork. The role involves electronically recording and updating patient information in a timely and accurate fashion, initiating electronic and/or telephone inquiries to physician offices, insurance payers, employers, and internal business partners, and completing insurance eligibility checks and verifying benefits through electronic means. The Patient Access Specialist demonstrates knowledge concerning the operations of various hospital departments, answers or refers questions appropriately, and maintains open lines of communication with internal and external customers. They appropriately and effectively explain, secure, and witness all required signatures for medical treatment, insurance benefits, release of information, financial responsibility, and other requirements, including "Important Message from Medicare" and Care Everywhere. The role involves identifying Self-Pay patients and providing Presumptive Eligibility and/or Financial Assistance, assessing and responding appropriately to patients' communication needs, and securing interpreters or other necessary assistance when appropriate. Maintaining an effective working relationship with all Revenue Cycle Departments is crucial. The Patient Access Specialist adheres to the designated dress code/uniform requirements, answers the telephone politely, and displays sensitivity to the needs and problems of patients, visitors, and fellow employees, understanding that confidentiality must be maintained. They act as an agent of the hospital in the best interests of the hospital, creating a positive image, and maintaining a productivity standard for their specific area of registration (3 registrations/hr ED or 5 registrations/hr OP). Accurate collection and analysis of all required demographic, insurance/financial, and clinical data for patient registration with 95% accuracy is essential. The role requires applying critical thinking to eliminate duplicate Medical Records numbers or accounts, possessing a working knowledge of insurance and the RTE function for insurance verification, and demonstrating job skills for multiple areas to support those areas if necessary. The Patient Access Specialist demonstrates the ability to accurately identify valid physician orders and transcribe them into an electronic order. They possess a working knowledge of Medical Necessity, Medicare as Secondary Payor Questionnaire, and the Advanced Beneficiary Notice for Medicare patients. The role includes collecting co-payment from patients covered by managed care insurance and prior balances and pre-payments, demonstrating knowledge of department and hospital policies and procedures, and staying updated on policy/procedure changes. Daily monitoring and timely response to email communication and department announcements are required, as is attending staff meetings or reviewing follow-up information. The Patient Access Specialist acts as a training resource for new staff and a resource for co-workers, sharing process and workflow information. They demonstrate critical thinking, flexibility, organization, and the ability to function well in stressful situations, maintaining a neat and uncluttered work area to present a professional image. Performs other duties as assigned.
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Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED