Patient Access Specialist - Full Time - Days - Onsite

Jupiter Medical Center•Essex, VT
•Onsite

About The Position

The Patient Access Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence. The Patient Access Specialist is responsible for obtaining demographic, insurance, and medical information to ensure an accurate and complete registration. Performing insurance verification, data collection and documentation. Determine medical necessity for services based on established medical criteria. Identifying patient financial responsibilities and collecting applicable monies. Acting as liaison to all internal and external customers to facilitate access to hospital services. Secures all necessary documentation to register the patient's visit. Performs other duties as assigned.

Requirements

  • High School Graduate or Eqivalent
  • BLS certification through the American Heart Association for Healthcare Providers is required within 90 days of hire.
  • Enthusiastic, friendly, patient focused customer service skills.
  • Exemplary communication skills, written and verbal – must be comfortable speaking to patients via phone and in person and successfully communicate pertinent information.
  • Must be a team player with ability to collaborate interdepartmentally and with clinical staff.
  • Capacity to multi-task with computer programs while providing patients the highest level of care and attention.
  • Ability to self-direct and exercise independent judgment in situations requiring follow-up and discussions with clinical staff and/or other areas of Patient Access to ensure completeness of task and customer satisfaction.
  • Works well in a team environment to accomplish common tasks to solve problems and enhance the smooth and efficient flow of the department.
  • Minimum 2 yrs experience with hospital insurance plans including Medicare, Medicaid, HMO's and PPO's.
  • Excellent typing and computer skills.
  • Familiarity with area managed care plans and contractual terms.
  • Two to four years of healthcare experience in the outpatient setting.
  • Knowledge of outpatient procedures and medical terminology required.
  • Knowledge of Federal and third-party payor requirements.
  • Requires sitting for long periods of time, also stooping, bending, standing, and stretching.
  • Must have manual dexterity for typing and computer data entry.
  • Able to work under a stressful environment, work independently, capable of making sound decisions, be detail oriented, alert, and self-motivated.
  • Ability to push/pull up to 40lbs., carry and lift up to 20lbs.
  • Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation
  • TB/PPD Surveillance Program
  • Maintenance of required professional licensing and/or certification(s).

Nice To Haves

  • Travel as needed.

Responsibilities

  • Obtaining demographic, insurance, and medical information to ensure an accurate and complete registration.
  • Performing insurance verification, data collection and documentation.
  • Determine medical necessity for services based on established medical criteria.
  • Identifying patient financial responsibilities and collecting applicable monies.
  • Acting as liaison to all internal and external customers to facilitate access to hospital services.
  • Secures all necessary documentation to register the patient's visit.
  • Performs other duties as assigned.
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