Sr Patient Access Specialist

Children's HealthDallas, TX
3dOnsite

About The Position

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being. Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Requirements

  • At least 5 years customer service experience with three years of healthcare experience including Patient Access operations activities required
  • Extensive knowledge of general procedures and guidelines used by health insurance companies, government agencies, employer benefit departments and internal departments as they relate to registration required
  • Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and minimum of 40 words per minute required
  • Ability to develop and maintain productive working relationships to fully integrate within a team required
  • Proficient in English, written and verbal, communication skills required
  • High school diploma or equivalent required
  • Two-year Associate's degree or equivalent experience required

Nice To Haves

  • National Association of Healthcare Access Management CHAA Certification preferred
  • Epic Proficiency or Certification with ADT/Prelude preferred

Responsibilities

  • Ensures the appropriateness of complex registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
  • Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
  • Acts as a liaison to resolve complex patient access and account issues, responds to questions on reimbursement and serves as a resource and systems expert for patient access specialists, including on-the-job training; assess DNB work queues for performance improvement and appropriateness of complex patient access transactions
  • Provides guidance, feedback and training to staff on multiple processes, payers and systems; monitors work queue assignments and assess productivity
  • Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values
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