Patient Access Specialist

Patient Access Specialist

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Patient Access Specialist is responsible for the smooth operation and flow of patients within the registration area. This includes greeting patients, providing information, answering phones, registering patients and entering exam orders as required. They are also responsible for obtaining all demographics, insurance information, appropriate codes, and authorizations from patients (or their representatives) and physicians in a courteous and efficient manner for billing. Other duties pertinent to optimal patient experience, patient flow, and efficient staff utilization are also expected.

Schedule: 25-30 hours/week, primarily Saturday and Sunday with occasional weekday coverage from 7:00am - 7:00pm

Schedule is subject to change based on business needs.

Location: 4747 Arapahoe Ave., Boulder, CO 80303

Primary Responsibilities:

• Interview patient to obtain demographic, billing, and insurance information and complete all registration steps
• Locate and process provider requisitions
• Determine insurance eligibility
• Determine patient payment and collect payment on insured and self-pay accounts
• Obtain signatures for necessary paperwork including, but not limited to, financial agreements and medical release, etc.
• Demonstrate thorough knowledge of EMTALA regulations
• Problem solves account registration issues when working reports and/or patient concerns
• Prioritize work according to departmental need
• Maintain proficiency on all necessary software modules
• Exercise good judgment in referring complex situations to the appropriate leadership team member
• Respond to patient questions, concerns and feedback, referring them to appropriate lead or supervisor
• Responsible for meeting all competencies as listed on the Competency Based Orientation and regularly scheduled competency check-offs
• Employees are expected to comply with all regulatory requirements, including Joint Commission Standards
• Is familiar with organization, department, and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials communications, Emergency Preparedness, Infection Control, and Medial Equipment failure
• Must adhere to Universal Precautions which includes: a) The use of protective barriers as appropriate; *gloves *masks *gowns *pocket masks *safety glasses, b) Handling and disposing of infectious waste appropriately, c) Hand washing as appropriate
• Keep up to date with all hospital policies and procedures
• Assist with coverage of open shifts when needed
• Attend staff meetings and all mandatory meetings as required
• Complete required hospital-wide trainings as required
• Report all supply needs, work related problems, or injuries to leadership
• Read and return all e-mail, phone calls
• Responsible for time keeping, clocking in and out according to established guidelines, as well as, reporting absences, leaves, and tardiness according to policy
• Ensure that all supplies and forms are stocked in the area
• Assists with other duties as requested

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• Ability to work 25-30 hours/week, primarily Saturday and Sunday with occasional weekday coverage from 7:00am - 7:00pm

Preferred Qualifications:

• Experience with Microsoft Office products
• Experience in Customer Service Role
• Experience with Medical Records
• Experience in a Hospital Patient Registration Department, Physician office or any medical setting
• Experience in insurance reimbursement and financial verification
• Experience in requesting and processing financial payments
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Ability to perform basic mathematics for financial payments

Soft Skills:

• Strong interpersonal, communication and customer service skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.