PATIENT ACCESS SPECIALIST

Patient Access Specialist

The Patient Access Specialist is responsible for verification of all patient accounts in an effort to assist with registration to ensure accuracy to decrease insurance claim denials. They are responsible for verifying the accuracy and completeness of all registrations and assisting in the education of daily activity of the patient access department. This position has a great understanding of the admitting and registration process and is able to work in all areas of admissions. This is a Full time benefited position working 80 hours a pay period. There are no weekends or holidays.

Job Functions

• Verifies patient insurance information with insurance companies to determine eligibility, type of coverage, and primary payer.
• Inquires about preauthorization for Cardiac Rehab and assists with Series accounts in emergency room and oncology.
• Ensures and enters the pre-authorizations for Surgery and Radiology for non JRMC provider services.
• Reviews all non JRMC accounts and Cardiac Rehab accounts for medical policies prior to service.
• Assists the department supervisor in working patient access work queues, checking for accuracy and completeness.
• Verifies all registration or admissions of patient accounts are correctly completed.
• Works closely with the business office and HIM to validate all patient accounts.
• Maintains communication and promotes cooperation with other departments in regards to patient accounts.
• When required, will be assigned to work in various admission areas; interviews patients, gathering information including but not limited to demographic data, insurance information and emergency notification, and obtains appropriate signatures. Functions as the telephone switchboard when required. Assists in the scheduling of patient for the clinic and rehab departments.
• Discusses payment arrangements with patients, receives payments and prepares receipts.
• Interacts with patients of all age groups (infants, pediatrics, adolescents, adults, and geriatrics) while performing duties.
• Responds appropriately to emergency situations i.e Code Blue, fire alerts, stat calls, etc.
• Conducts department in-services as requested by department manager.
• Works on PC including Microsoft programs (Word, Excel, Outlook) projects.
• Maintains registration proficiency program. Assists supervisor and manager with quality reviews.
• Performs other related duties as assigned or requested.
• Will assist with departmental policies and procedures
• Will become or is a super trainer.
• Is back up for Financial Counseling.
• Is the back-up JRMC clinic provider insurance specialist.
• Assists in maintaining the HPE, Self-Pay and C. Rehab calendars.

Qualifications / Requirements For This Position :

Employee Requirements

Lifting

Carrying

Pushing

Pulling