Pre Access Specialist II - St. Elizabeth Youngstown Hospital

Bon Secours Mercy Health • Youngstown, OH

2d

About The Position

Primary responsibilities include front desk, scheduling, registration, point of service collection and promoting the values and mission of BSMH.

Requirements

• High School Diploma or GED
• 1-2 years of healthcare experience preferred
• 1-2years of extensive customer service experience preferred.

Nice To Haves

• Graduate of business school preferred.
• Experience in multiple areas of pre-access (scheduling, pre-registration, financial clearance) preferred.
• Medical terminology and knowledge of insurance preferred
• Combination of post-secondary education and experience in lieu of a degree.

Responsibilities

• Schedules the correct procedure at the appropriate facility and appropriate time, while also ensuring assignment of proper patient types.
• Collects and accurately documents initial pre-certification / authorization information if available when scheduling
• Accurately obtains / validates / documents patient demographic, insurance and clinical information and assigns correct payer plan code
• Accurately pre-registers patients, including selection of proper medical record number for patient safety
• Completes insurance verification and eligibility checks
• Calculates patient liabilities and actively collects and processes patient payments
• Receives and processes physician orders received via fax, Order Facilitator, EPIC or any other method available for receiving pre-service orders.
• Performs medical necessity / compliance checks to ensure services meet medical necessity based on Medicare Local Coverage Determination (LCD) and communicates ABN requirements to physician offices if scheduled service(s) is not medically necessary.
• Performs front desk duties inclusive of patient check-in and escorting/assisting patient to gowned reception area.
• Corrects registration errors identified during pre-registration.
• Follows up on missing orders, ensures that requested orders are received and on file prior to services being rendered
• Demonstrates problem solving skills related to scheduling, registration, financial clearance and patient liability

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees