Patient Access Specialist

Advocate Health and Hospitals Corporation•High Point, NC

21h•$21 - $31•Onsite

About The Position

Position Highlights: Location: High Point, North Carolina Full Time What We Offer: Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work. Generous PTO: Accrual starts at up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters. Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave for non-birthing parents. Retirement: Up to 7% employer-paid retirement contributions Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor's degree and up to $5,000 per year towards a graduate degree What You'll Need: High School Diploma or GED General Studies Required What You'll Do:

Requirements

High School Diploma or GED General Studies Required

Responsibilities

Patient Registration Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services. Reviews registration form for any missing data, and correctly enters information with limited keying errors. Obtains patient's and/or responsible party's signatures on consent and other legal documents. Updates registration system when applicable, and collects any payment due.
Pre-Certifications/Pre Admissions Secures needed pre-certifications, authorizations and referrals and enters information properly in the registration system, with no more than 5 instances of error during quarterly review. Correctly routes paperwork, flags pre-admissions for any incomplete/missing information and communicates with service departments when orders are incomplete for scheduled patients.
Insurance Verification Verifies insurance using the best and most cost-effective method for the particular insurance, such as software, payer website, or voice verification. For pre-registered patients, confirms insurance information entered into system is complete and accurate. Ensures that the insurance verified matches the plan filed with no more than 5 instances of error per quarter. Correctly assigns Guarantors, taking into consideration compliance requirements (hospital transfers, SNFs, etc.) with no more than 5 instances identified at quarterly review.
Insurance Benefit Information Enters insurance benefit information on a patient's account in a standardized format and location within the main information system, and scans supporting documentation as appropriate. Correctly selects insurance plans and enters them in the correct coordination of benefits order, with no more than 5 instances of error. Enters appropriate Account Notes and uses Standard Notes when required.
Patient Payment Administration Calculates money owed by patients, based on confirmed insurance benefits and informs patients of estimated amounts owed and options for payment. Administers the Hospital Credit and Collection policy, offering the Prompt Pay discount and identifies patients for referral for Medicaid eligibility and charity care consideration based on outcomes of FAU screening tool. Correctly administers alternate payment options such as Mosaic finance and Employee Wage Deduction. Completes fax notification daily of designated payers.
Medical Record Numbers Accurately selects patient from the Master Patient Index or assigns a new medical record number as needed. Ensure duplicate medical record numbers are reported via online tool and account hot coded to indicate that reporting has occurred. Incurs no more than 3 errors as identified during quarterly review.
Patient Type Changes Assigns the correct patient type according to pre-admitted status or service for non-pre-admitted patients. Correctly converts a registration from one patient type to another, changing all appropriate data elements and notifying Clinical Denial Management as appropriate. Correctly selects pre-admitted accounts for conversion and accurately selects appropriate appointments. Makes necessary patient type changes as requested by Clinical Denial Management staff by next business day.
Customer Service Greets patients arriving to the department and directs as needed. Answers telephone calls and dispositions properly. Distributes parking passes according to procedure. Correctly explains and distributes HIPAA privacy information and appropriately updates each registration, addressing the NPP and opt out status.
Teamwork Serves as backup for team members following department rules and regulations.

Benefits

Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work.
Generous PTO: Accrual starts at up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave for non-birthing parents.
Retirement: Up to 7% employer-paid retirement contributions
Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor's degree and up to $5,000 per year towards a graduate degree
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program