Patient Access Specialist - Remote Temp(12 Months - Wtn)

• Maintains a professional relationship with the patient while providing excellent customer service and performing assigned duties.
• Documents pertinent patient information and all account work activity in the appropriate systems dictated by the health care facility and Company.
• Captures and documents all pertinent patient demographic, subscriber, and insurance information (i.e.): patient Policy and ID numbers, subscriber, guarantor, payer address, phone numbers, and other contact information. Documentation must include, benefit effective date, copay, deductible, out of pocket non-covered services responsibilities, co-insurance, stop loss amounts, percentage of coverage and any other pertinent information concerning the specific procedure/clinical service to be performed.
• Responsible for securing authorizations and documenting all pertinent information in the appropriate system (i.e.): Insurance, Ordering information, Physician information, Tax ID, CPT, HCPCS and ICD 10 codes. Documentation must include, authorization status, authorization number, ordering procedures, verified from, dates approved for and any other pertinent information.
• Responsible for meeting all patient registration goals and productivity in a timely manner to ensure time sensitive requirements are obtained.
• Personally responsible, consistently displays respect for self and others, innovative through teamwork, dedication to caring and excellence in customer service.
• Able to successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information.
• Responsible for accurately obtaining and entering proper procedure or diagnosis codes into scheduling system.
• Obtains and accurately completes ABN or MSP forms, when applicable.
• Obtains complete and accurate insurance information and completes insurance verification by contacting patients, physician offices and insurance/payer regarding the visit.
• Works according to standard operating procedure during ADT/system downtimes.
• Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments.
• Assists patients, as needed, to ensure compliance with the payer’s requirements for reimbursement.
• Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual’s financial condition according to charity policy.
• Responsible for communicating with patients regarding patient financial responsibilities before or at time of service. Informs patients on billing process for facility and providers.
• Knowledgeable, understands and compliant with GetixHealth policies and procedures.
• Follows up in a timely manner to ensure customer satisfaction.
• Continuously seeks to ensure maximum efficiency, accuracy, and customer satisfaction through process improvement. Make recommendations to management for such process improvements.
• Perform other duties as assigned by management.

REQUIRED EDCUATION AND EXPERIENCE

• High School Diploma or General Education Development (GED) certificate or equivalent in relevant work experience desired
• Minimum of one (1) year experience in Patient Access, Patient Financial Services or related experience (2 – 3 years preferred), or at least one (1) year of recent experience in a hospital or physician’s office required
• Associate or Bachelor’s Degree in Business, Financial/HealthCare or related field preferred

REQUIRED KNOWLEDGE, SKILLS & ABILITIES

• Excellent written and oral communication skills
• Excellent Customer Service/Patient Relations – consistently display professionalism
• Working knowledge of Protected Health Information (PHI), HIPAA
• Ability to multitask, coordinating more than one event at a time
• Ability to work in a team fostered environment
• Ability to in a fast-paced work environment
• Strong organizational, planning and prioritization skills
• Typing speed of type 35+ wpm minimum
• Ability to demonstrate proficiency in MS Office (Word, Excel, Outlook, PowerPoint), as well as web-based navigation
• Experience/knowledge of: medical terminology, data entry, computer skills, admitting, business office, cash collections, physician office interactions and working with public preferred
• Ability to demonstrate knowledge of hospital billing requirements and the documentation necessary to satisfy those requirements.
• Possess a detailed understanding and knowledge of insurance guidelines and protocols, components of full verification, and payer information / requirements
• Exhibits competency in the use of all registration systems, electronic verification tools, and Web Based resources