Patient Access Specialist

3 days ago Be among the first 25 applicants

This range is provided by Bayhealth. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$17.40/hr - $26.10/hr

Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process including point of service payments.

Provides payment estimates for out-of-pocket costs. In this role the PAS I is assigned to one department/location.

The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one-year patient registration experience in the assigned department is required for consideration for PAS II.

• Customer Service; meets the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.
• Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secures patient signatures for required forms.
• Enter data related to procedures, tests, and diagnoses (when applicable). Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines.
• Obtains and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
• Identify the patient using two factor identification. Complies with EMTALA regulation when creating the quick registration account (when applicable).
• Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
• As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
• Perform point of service collections:
  Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their co-payments, deductibles, co-insurance, deposit amounts and outstanding balances. Documents payments/actions in the EHR and provides the patient with a payment estimate (when applicable). Follows cash drawer balancing procedures, as appropriate, reconciles payments against deposit totals.
• Review and resolve account errors in assigned work queues.
• Maintain qualitative and quantitative individual and team performance targets.
• Responds to disaster and mass casualty situations in a calm and appropriate fashion. Maintains and understands the emergency management processes and procedures specific to that unit.
• Adheres to department and system policies. Interact with co-workers, visitors, and other staff consistent with the Bayhealth values.
• Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
• Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process. Accurately complete reception duties in accordance with policies.
• All other duties as assigned within the scope and range of job responsibilities.

• Education:
  
  High School Diploma or GED ;
• Credential(s):
  None Required
• Experience:
  
  Required:
  
  One (1) year in a customer service role.

Experience in healthcare or medical office environment. Knowledge of medical terminology.

• Education:
  
  Associate Degree Associate Degree Business Administration Related field
• Credential(s):
• Experience:

Location:
Kent Campus Hospital

Status:
Per Diem 0 Hours

Shift: Days

SALARY RANGE: 17.40 - 26.10 HOURLY

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Base pay range: 17.40/hr - 26.10/hr

Not Applicable

Part-time

Administrative

Industries:
Hospitals and Health Care

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