Position Title: Patient Access SpecialistDepartment: Business Office/ClinicsLevel I Supervisor’s Title: Revenue Cycle Manager/Clinic ManagersLevel I – General Front Desk, Clinic or Hospital
- * Position Summary: Responsible for registering patients efficiently and accurately, greeting patients and visitors in person or by phone, and verifying insurance eligibility.
- Principle Functions and Responsibilities:
- Registers all patients for both acute and ambulatory settings.
- Coordinates night quick admit registration from hardcopy form to permanent computer records.
- Monitors patient census and notifies appropriate Department Manager of admission status.
- Pre-registers any necessary patient accounts and maintains those preregister accounts by completing them after patient arrives or is discharged.
- Responsible for scanning all patient registration forms into electronic medical record system.
- Maintains standing orders for Laboratory patients.
- Receives notification of patient discharges from nursing station and enters discharges into computer.
- Collects and processes copays, deductibles, and co-insurance payments from patients via in-person or over the phone.
- Processes incoming mail and distributes to appropriate departments. For payments received via mail, logs patient account numbers on checks, and places remittance slips in the daily folder.
- Responsible for scanning patient insurance remits into appropriate file folders.
- Responsible for occasional duties of monitoring and organizing incoming faxes and print jobs related to the hospital-wide copy and fax machines.
- Maintains positive and effective relations with co-workers, other departments, patients, and visitors.
- Generates estimates of procedures/services/visits for patients.
- Attends meetings and completes assigned trainings as required.
- On occasion, may be required to work holidays, overtime, night or weekend shifts.
- Required to cross-train in all registration areas and will rotate to work a shift in each area at least once per quarter.
- Answers multi-line phones and/or serves as switchboard operator for all incoming calls; transfers to appropriate areas, when necessary.
- Validates prior authorization information from external providers.
- Notifies appropriate staff/department of patient arrival for STAT procedures or exams.
- Calls patients for appointment reminders for upcoming appointments (typically, next day appointments).
- Schedules patients according to provider scheduling preferences.
- May occasionally assist with registration audits and corrections.
- Performs other duties as assigned or requested.
Qualifications
- * Position Qualifications:
- Minimum Education: High school diploma or equivalent.
- Minimum Experience and Skills: Prior experience in a hospital business office or admitting office.
- Demonstrated proficiency in terms of computer-based word processing, spread sheet and database management.
- Ability to operate a hospital-wide telephone switchboard. Data entry and customer service experience a plus.
- Certification, Registration or Licensure: None required
Physical Requirements (level I & II)
- * Sitting and working at a computer, walking,
- Lifting, reaching, hand eye coordination, speaking.
- Must be able to read, write, and speak English clearly.
Working Conditions (level I & II)
- * Primarily works in an office setting.
- Potential exposure to patient elements in general.
- Blood Borne Pathogens – potential exposure to blood, body fluids or tissues.
