Patient Access Specialist

ThedacareAppleton, WI
10hOnsite

About The Position

POSITION SUMMARY: The Patient Access Specialist performs scheduling, pre-registration, and/or registration duties for ThedaCare patients to ensure that necessary information is in place to support quality, timely service. This includes scheduling diagnostic services, verifying benefits, calculating the patient’s financial liability, validating demographics information, performing point of service collections and communicating essential information regarding the scheduled service to the patient. The Patient Access Specialist performs these functions while meeting the mission and goals of ThedaCare and regulatory compliance requirements.

Requirements

  • High school diploma or GED
  • 1-2 years of healthcare or customer service experience.
  • Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
  • Normally works in climate controlled office environment
  • Interaction with department members and other healthcare providers
  • Frequent sitting with movement throughout office space
  • Use of computers throughout work day
  • Frequent use of keyboard with repetitive motion of hands, wrist and fingers
  • Occasional high noise level in work environment
  • Position requires compliance with department specific competencies.

Responsibilities

  • Schedules and pre-registers patients including obtaining and validating demographic and insurance information while maintaining a 95% quality rating and meeting appropriate productivity metrics as well as ensuring appropriate procedure based on physician orders.
  • Selects accurate medical records for patient safety
  • Provides proper patient instructions while providing excellent customer services
  • Process patient pre-registrations and admissions timely and accurately.
  • Collects and enters all necessary demographic, clinical, billing, and insurance information from customers or responsible parties to facilitate a seamless customer experience.
  • Review patient’s benefits to create patient estimates while determining patient’s financial liability, collecting and processing payments from patients. Reconciles payments made within the day.
  • Facilitates the flow of patient forms, patient letters, and date collection per department needs.
  • Proactively problem solves access issues that arise when scheduling to meet stakeholder’s needs, which can include adjusting schedules to utilize unused time due to cancellations and to accommodate patient needs.
  • Answers phones, takes appropriate action, and forwards when necessary to appropriate departments
  • Performs administrative tasks to support operational needs of area

Benefits

  • Lifestyle Engagement
  • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
  • Access & Affordability
  • e.g. minimal or zero copays, team member cost sharing premiums, daycare
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