PATIENT ACCESS SPECIALIST

Premier Health Partners•Dayton, OH

63d

About The Position

The Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements. The Patient Access Specialist must demonstrate Customer Focus (15) and expert Functional/Technical skills (24) while providing financial assessment and evaluation of each patient entering the hospital. The Patient Access Specialist must comprehend the hospital's financial policies, possess the ability to apply it to the patient, and secure payment for the patient's hospital liability. Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights.

Requirements

Minimum Level of Education Required: High School completion / GED
Minimum Level of Experience Required: 1 - 3 years of job-related experience
Ability to perform a variety of tasks, often changing assignments on short notice.
Must be adept at multi-tasking.
Will be required to learn and work with multiple software/hardware products to be used during the course of an average work day.
Must possess excellent verbal and listening communication skills.
Must be able to maintain a professional demeanor in stressful situations.
Must be adept with machinery typically found in a business office environment.
Possesses mathematical aptitude to make contractual calculations and estimate patient financial obligations to achieve financial clearance.
Able to build productive relationships with all contacts.
Must be able to complete Medicare Compliance training within 90 days of hire.

Nice To Haves

Associates Degree preferred in healthcare or related business field.
Preferred Windows-based computer typing 25 wpm.
Medical Terminology certification preferred.
Customer service, general clerical/office, hospital, medical office/clinic, or insurance company.
Applicable class work may be substituted for previous work experience.
Prefer minimally one-year experience in a hospital, medical office/clinic, or insurance company.
Overall knowledge of third party collections, registration, billing and contracts is preferred

Responsibilities

Financial counseling
Collecting co-pays and deductibles
Providing financial assistance education
Stat registering
Scheduling appointments
Completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system
Verifying insurance benefit information
Generation of the ABN
Reviewing orders for compliancy
Completion of MSP
Obtaining financial and treatment consents
Placing of ordered medical procedures
Obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements
Providing financial assessment and evaluation of each patient entering the hospital
Applying hospital's financial policies to the patient
Securing payment for the patient's hospital liability
Maintaining excellent customer service standards
Effectively communicate with physicians, physician offices, patients, and co-workers
Efficiently perform all duties while ensuring patient confidentiality and privacy rights