Lead Patient Access Specialist

Overview

Lead Patient Access Specialist

10AM TO 6:30PM FLEX, FLOAT, INCLUDES WEEKENDS, HOLIDAYS

Sign on bonus eligible *

Upper Valley Medical Center

Lead Patient Access Specialist

10AM TO 6:30PM FLEX, FLOAT, INCLUDES WEEKENDS, HOLIDAYS

Full time / 80 hours per pay

• The Lead Patient Access Specialist supports the Access Supervisor/Manager with open communication on issues, opportunities, and situations involving areas of Access Services. This role responds to the Supervisor/Manager and team as well as internal and external customers of Patient Access Services.
• Cross-trains staff members and cross-trains for other positions as needed due to unforeseen circumstances.
• Ensures quality customer satisfaction and assists with audits and department goals.
• Responsible for financial counseling, collecting co-pays and deductibles, and providing financial assistance education to patients and families.
• Performs stat registration, scheduling, and completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system.
• Verifies insurance benefit information, generates the ABN, reviews orders for compliance, completes MSP, obtains financial and treatment consents, and places ordered medical procedures.
• Obtains pre-certification when applicable while maintaining compliance with regulatory requirements.
• Demonstrates customer focus and expert functional/technical skills while providing financial assessment and evaluation of each patient entering the hospital.
• Understands and applies the hospital’s financial policies to patients and secures payment for the patient’s hospital liability.
• Maintains excellent customer service standards at all times to effectively communicate with physicians, physician offices, patients, and co-workers; ensures patient confidentiality and privacy rights.

• Minimum Level of
  
  Education Required:
  
  High School completion / GED
• Preferred educational qualifications: Associates Degree preferred in healthcare or related business field.
• Position specific testing: Typing test 25 words per minute preferred

• Medical Terminology certification preferred.

• Minimum Level of Experience
  
  Required:
  
  1 - 3 years of job-related experience
• Prior specific functional responsibilities: Requires at least two years’ experience in customer service and general clerical/office procedures. Applicable class work may be substituted for previous work experience.
• Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. Applicable class work may be substituted for previous work experience.

• Ability to perform a variety of tasks, often changing assignments on short notice.
• Must be adept at multi-tasking.
• Learn and work with multiple software/hardware products used during a typical workday.
• Excellent verbal and listening communication skills.
• Maintain a professional demeanor in stressful situations.
• Adept with machinery typically found in a business office environment.
• Mathematical aptitude to make contractual calculations and estimate patient financial obligations for financial clearance.
• Ability to build productive relationships with all contacts.
• Must complete Medicare Compliance training within 90 days of hire.
• Prefer at least one year of experience in a hospital, medical office/clinic, or insurance company.
• Overall knowledge of third party collections, registration, billing, and contracts is preferred.