Patient Access Specialist
About The Position
The Patient Access Specialist functions as an integral member of the team and is the first point of contact for all people inquiring about the provider’s practice. The primary role is to organize the practice’s daily activities and paperwork. Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Requirements
- High School Diploma/GED
- 1+ years of customer service experience such as in a hospital, office setting or phone support role
- Ability to read Doctor's orders
- Ability to work Tuesday - Friday from 9:00am - 7:30pm, and one weekend per month (Saturday & Sunday) from 9:00am - 7:30pm
Nice To Haves
- 1+ years of experience with prior authorizations
- 1+ years of experience working in a healthcare facility
- Experience with Microsoft Office products
- Experience in a Hospital Patient Registration Department, Physician office or any medical setting
- Experience in requesting and processing financial payments
- Experience in insurance reimbursement and financial verification
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Ability to perform basic mathematics for financial payments
Responsibilities
- Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting
- Obtains referral, authorization and pre-certification information and documents this information in system
- Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due
- Trains staff on computer systems, new processes, payer updates and assigned reporting
- Functions as a Superuser for primary computer systems
- Proactively identifies and leads department improvement opportunities
- Works on special projects as needed
- Performs the duties of a Patient Access Representative
- Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas
- Updating doctors orders
- Update patient’s profile with correct data
- Entering patient rooms to obtain compliance forms from patients
Benefits
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
