Patient Access Specialist - Deltona ED

Halifax Health•Deltona, FL

About The Position

The Patient Access Specialist is responsible for performing duties associated with Scheduling, Pre-registration, Registration, Insurance Verification, and Financial Counseling. Accurately schedule patients being registered for a hospital service. Obtain necessary documents required for scheduling and registration. Promote good public relations at all times, extending a positive, cooperative and supportive service to patients, families and fellow colleagues. Pre-register scheduled accounts via contact with patients, physicians or appropriate information sources. Create accurate and thorough registration records for each patient visit. Secure appropriate signatures, financial information and documents. Identify and collect patient balances. Screen for payer medical necessity requirements and benefit eligibility on appropriate accounts. Coordinate admission reservations and bed placement with nursing. Obtain insurance eligibility, benefits, authorizations, pre-certifications and referrals for inpatient and outpatient, scheduled and non-scheduled visits. Update demographic and insurance information in the system as needed. Initiate collection process by contacting patients/representatives about date of service deductibles, co-insurance and co-payments. Establish financial arrangements with patients according to policy. Act as the primary documentation source for access and billing staff. Interact in a customer-focused and compassionate manner to ensure patients and their representatives' needs are met, and they understand the hospital's financial policies.

Requirements

High School Diploma or GED equivalent required; Associate's or Bachelor's degree preferred
Must complete Revenue Cycle Orientation courses within 6 months of hire
Two years of related work experience preferred, preferably in healthcare or customer service environment utilizing the following skills:
Effectively communicating with individuals from varying socio-economic backgrounds and obtaining pertinent information
Familiarity with medical terminology
Ability to accurately verify demographic information and insurance benefits
Ability to effectively operate office equipment (i.e., fax machine)
Must have knowledge of computer programs such as Microsoft® Word and Excel
Organizational and time management skills necessary to complete multiple tasks
Must be customer-service oriented and able to effectively communicate and build relationships with Team Members at all levels in the organization.
Professionalism in interpersonal verbal and written communication skills with colleagues, physicians and ancillary department personnel is required
Demonstrates compliance with the Statement of Organizational Ethics and all policies related to the organization's Corporate Compliance Program as evidenced by attendance at applicable educational programs; - consistently carrying out job responsibilities ethically and professionally; - exhibiting ethical and professional workplace behavior and decision-making; - reporting any infractions using the appropriate chain of command and without fear of retribution.
Completes annual learning requirements, reviewing fire safety and Isolation precaution policies, applicable code reviews, disaster plan reviews, policies on handling hazardous and toxic substances, and risk management issues.
Demonstrates an interest in patient safety education and participates proactively in identifying problems and incidents in the department and throughout the hospital which place any patient, visitor, or staff member at risk or injury.
Follows EMTALA, HIPAA, payer, and other regulations and standards.
Demonstrates a positive and friendly demeanor even in stressful situations to ensure a positive experience for all customers.
Communicates in a respectful, positive way with fellow colleagues.

Nice To Haves

EPIC EHR experience preferred

Responsibilities

Accurately schedule patients being registered for a hospital service.
Obtain necessary documents required for scheduling and registration.
Promote good public relations at all times, extending a positive, cooperative and supportive service to patients, families and fellow colleagues.
Pre-register scheduled accounts via contact with patients, physicians or appropriate information sources.
Create accurate and thorough registration records for each patient visit.
Secure appropriate signatures, financial information and documents.
Identify and collect patient balances.
Screen for payer medical necessity requirements and benefit eligibility on appropriate accounts.
Coordinate admission reservations and bed placement with nursing.
Obtain insurance eligibility, benefits, authorizations, pre-certifications and referrals for inpatient and outpatient, scheduled and non-scheduled visits.
Update demographic and insurance information in the system as needed.
Initiate collection process by contacting patients/representatives about date of service deductibles, co-insurance and co-payments.
Establish financial arrangements with patients according to policy.
Act as the primary documentation source for access and billing staff.
Interact in a customer-focused and compassionate manner to ensure patients and their representatives' needs are met, and they understand the hospital's financial policies.