Patient Access Specialist

Job Type:

Regular

Scheduled Hours:

40

Job Summary:

Reports to the Patient Access Manager or Clinical Patient Access Manager, the Patient Access Specialist II is primarily responsible successfully managing large amounts of inbound and outbound calls. The Patient Access Specialist II ensures all pertinent medical information and care needs for patients are identified, documented and communicated to the provider. Collection of accurate demographic and insurance information from patients is equally important to facilitate a successful patient revenue cycle. Based on the operations, this position may be responsible for a variety of duties, including collecting and handling payments, providing customer service, entering accurate and thorough data into EMR, test scheduling, referral processing, and other duties as assigned.

Job Description:

EDUCATION:

Minimum: High School Diploma/G.E.D.

Desired: Medical Office Experience

YEARS OF EXPERIENCE:

Experience in a medical practice, customer service or revenue cycle department

LICENSES AND CERTIFICATIONS:

None

BENEFITS:

• Work from Home Opportunity (Equipment Provided)
• Paid Time Off
• Medical, Dental, and Vision
• 403b with Match
• Opportunity for Growth

PRIMARY PURPOSE:

The Patient Access Specialist I is primarily responsible successfully managing large amounts of inbound and outbound calls.  The Patient Access Specialist I ensures all pertinent medical information and care needs for patients are identified, documented and communicated to the provider.  Collection of accurate demographic and insurance information from patients is equally important to facilitate a successful patient revenue cycle. Based on the operations, this position may be responsible for a variety of duties, including collecting and handling payments, providing customer service, entering accurate and thorough data into EMR, test scheduling, referral processing, and other duties as assigned. The Patient Access Specialist I is responsible for compliance with all OSHA and HIPAA regulations, and completion of all duties vital to business operations. The Patient Access Specialist I is always responsible for creating a positive impression with patients, family members and other callers.

DUTIES AND RESPONSIBILITIES:

• Comply with scheduling of patients and release of medical information processes to stay compliant with OSHA/CLIA/HIPAA.
• Schedules appointments for patients. Uses manual/computerized system to match physician/clinician availability with patient’s preferences in terms of date and time. Communicates as needed with physicians/clinicians and other staff about any patient concerns/issues related to scheduling.
• Verifies patient demographic information.
• Verifies current insurance and ensuring current updates in the practice management system.
• Provide information and resolve issues from patients/family members and insurance companies with empathy and compassion.
• Collects co-pays, self pays, and outstanding balances.
• Communicate in an effective and professional manner with payors, patients/family members, physicians, support employees, co-workers, and management.
• Ensures all information on the patient appointment is complete, accurate, and ready for charge entry.
• Ensures completion of referral process, outpatient test scheduling, and pre-certification.
• Files and distributes all patient information and incoming mail.
• Ensures accurate and timely distribution of patient requests.
• Works with central billing office and physicians/clinicians as needed in a timely manner on all requests.
• Completes all paper/electronic medical records reports.
• Uses customer service principles and techniques to deal with patients calmly and pleasantly.
• Updates the practice management system with new patient demographics.
• Other duties and responsibilities as assigned are complete on a timely, thorough and accurate basis.

FLSA Status:

Non-Exempt

Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other. 

St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.