Patient Access Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least one year of previous customer service experience in an office or medical office environment, including scheduling, admitting, and/or financial counseling.
• Excellent written and verbal communication skills and the ability to communicate effectively and courteously with physician office staff, patients, and/or insurance carriers.
• Ability to work in a fast-paced professional environment.
• Ability to work flexible hours and at different locations, including provider clinics, specialty clinics, outpatient and inpatient registration areas, emergency room registration, scheduling, and pre-certification.
• Ability to understand and solve complex problems involving governmental entitlement programs, commercial insurance requirements, contractual obligations, and reporting requirements.
• Ability to use and understand CPT and ICD-10 coding terminology, basic anatomy and physiology, outpatient diagnostic testing medical terminology, Medicare guidelines, HMO and PPO contracts, and other insurance billing processes.
• Excellent organizational skills and ability to maintain a professional, neat work environment.
• Good physical health and ability to stand, sit, or walk for long periods and lift at least 20 pounds.
• Ability to work with a moderate level of noise.

Nice To Haves

• Some college.
• Demonstrated competency to successfully perform Patient Access Representative duties, typically obtained through 12 months of direct experience.

Responsibilities

• Complete patient registration, check-in/check-out, admissions, insurance initiation and verification, benefit research, and appointment scheduling for inpatient and outpatient services.
• Collect accurate patient information, maintain confidentiality, and ensure patients are aware of their rights under HIPAA and company policy.
• Verify insurance coverage and benefits for Outpatient Cardiology Center patients.
• Complete patient registration in EPIC.
• Receive, maintain, clarify, enter, and validate physician orders.
• Schedule appointments for all Cardiovascular Services departments.
• Handle daily batching and posting of point-of-service payments.
• Communicate with patients to resolve previous and current balances.
• Maintain positive relationships with the healthcare team and provide information and support to physicians, staff, and patients regarding orders, insurance, referrals, and related issues.
• Support patient throughput and volume growth.