Patient Access Specialist-SMC Gastroenterology

Patient Access SpecialistThe Patient Access Specialist position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process.Minimum RequirementsEducation· High School diploma or equivalencyExperience· Minimum three years' experience in healthcare access and/or customer service· Emphasis on financial analysis of insurance benefits for up front collections· Focused knowledge with CPT, HCPCS and ICD-10 codes· Excellent understanding of insurance and medical terminology· Solid Microsoft Office skills required with a focus on Excel and WordLicense/Registration/Certifications· N/APreferred RequirementsPreferred Education· Associates or bachelor's degree in Business or Healthcare related fieldPreferred ExperienceMinimum four + years' experience in healthcare access, customer serviceMinimum one-year experience in a financial environmentPreferred License/Registration/Certifications· Certified Healthcare Access Associate (CHAA) or Certified Medical Insurance Specialist (CMIS)Core Job ResponsibilitiesAssists with Onboarding of new associatesCross training of current associatesComprehensive Pre-Registration process for specified departments/modalities due to sensitive nature of patient clinical and/or financial needs and complication of required processesAccurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounterUnderstands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices.Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocolsCompletes clinical screening for specified modalities to ensure patient safetyAbility to obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or renderedResponsible for all patient and claim edits for accuracy and compliance with all government and commercial carriers to ensure a clean claim submissionWorks as a liaison with Centralized Referral Center or assigned entity to ensure prior-authorizations have been obtained to secure payment and prevent denialsComplete and/or process patient payments for account posting accuracyMaintain an accurate cash drawer and functions related to cash drawer reconciliation and depositResponsible for practicing AIDET and all customer/patient related encountersPerforms other duties assigned by department supervisor or manager