Patient Access Specialist - Labor & Delivery Full Time

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs.

Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education

High School Graduate or Equivalent

Experience / Qualifications

• Registration and or scheduling experience
• Knowledge of hospital insurance plans including Medicare, Medicaid, HMO's and PPO's
• Familiarity with area managed care plans and contractual terms
• Knowledge of Federal and third-party payor requirements.
• 1 year of healthcare experience in the outpatient setting.
• Knowledge of scheduling procedures and medical terminology required.
• Knowledge of Healthcare Scheduling Software.
• Ability to self-direct and exercise good judgment, time management skills and follow appropriate procedures when setting priorities and handling stressful situations.
• Excellent written and verbal communication skills, excellent phone etiquette, customer service skills, and computer skills.
• Ability to prioritize and multi-task.

Position Summary

The Patient Access Specialist- Scheduler performs registration and scheduling for the obstetric department.

• Welcome and greet all patients and visitors, in person or over the phone.
• Monitor access to obstetric unit to allow entry only to individuals with the correct identification or authorization.
• Respond to inquiries by patients, prospective patients, and visitors in a courteous manner.
• Perform obstetric patient pre-registration, scheduling, admission, transfer, and discharge activities.
• Collect demographic, insurance, and medical information to ensure an accurate and complete registration.
• Perform insurance verification, data collection and documentation.
• Determine medical necessity for scheduled labor inductions and C-Sections based on established medical criteria.
• Obtain signatures for financial responsibility and treatment procedures from patients or guardians.
• Acting as liaison to all internal and external customers to facilitate access to hospital services.
• Initiating contact with insurance companies for verification of benefits and authorization of inpatient and outpatient services and documents patient’s account accordingly.
• Schedules appointments and instructs patients and physician offices on the appropriate preparation for the specific exam.
• Coordinates resources including Physicians, staff and equipment for scheduled exams.
• Resource to internal and external customers for scheduled outpatient exams.
• Secures all necessary documentation to support the patient's exam including physician orders, authorizations and medical necessity.
• Performs other duties as assigned.
4 days ago