Pre Access Specialist II - St. Elizabeth Youngstown Hospital

Mercy Health BSMH • Youngstown, OH

4d • Onsite

About The Position

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Summary of Primary Function/General Purpose of 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, HSA/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
• Benefits may vary based on the market and employment status.

What This Job Offers

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