Patient Access Specialist- Cardiac Surgery
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 Equivalent
- BLS certification through the American Heart Association for Healthcare Providers.
- Experience required in using EMR systems, insurance verification, eligibility, and electronic billing.
- Requires general and specific knowledge of health insurance plans and interpretation of health insurance benefits.
- Ability to maintain confidentiality.
- Experience in a customer support role.
- Medical terminology knowledge.
- Proficient skills in computer applications such as Microsoft Office.
- Ability to set priorities and manage time effectively.
- Flexible, service oriented, and dedicated.
- Exceptional communication skills both verbally and in writing.
- Superior organizational skills, attention to detail, and able to multi-task.
- Strong interpersonal skills, listening and ability to carefully follow directions.
- 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
- Billing and coding certification preferred
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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
