Patient Access Specialist

Patient Access Specialist

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness

• Lifestyle Engagement
• Access & Affordability

Job Profile Summary

The Patient Access Specialist performs scheduling, pre-registration, and/or registration duties for ThedaCare patients to ensure that necessary information is in place to support quality, timely service. This includes scheduling diagnostic services, verifying benefits, calculating the patient's financial liability, validating demographics information, performing point of service collections and communicating essential information regarding the scheduled service to the patient. The Patient Access Specialist performs these functions while meeting the mission and goals of ThedaCare and regulatory compliance requirements.

Job Description:

Schedule:

Monday - Friday

8:00am - 4:30pm or 8:30am - 5:00pm

Key Accountabilities:

• Schedules and pre-registers patients including obtaining and validating demographic and insurance information while maintaining a 95% quality rating and meeting appropriate productivity metrics as well as ensuring appropriate procedure based on physician orders.
• Selects accurate medical records for patient safety
• Provides proper patient instructions while providing excellent customer services
• Process patient pre-registrations and admissions timely and accurately.
• Collects and enters all necessary demographic, clinical, billing, and insurance information from customers or responsible parties to facilitate a seamless customer experience.
• Review patient's benefits to create patient estimates while determining patient's financial liability, collecting and processing payments from patients. Reconciles payments made within the day.
• Facilitates the flow of patient forms, patient letters, and date collection per department needs.
• Proactively problem solves access issues that arise when scheduling to meet stakeholder's needs, which can include adjusting schedules to utilize unused time due to cancellations and to accommodate patient needs.
• Answers phones, takes appropriate action, and forwards when necessary to appropriate departments
• Performs administrative tasks to support operational needs of area

Qualifications:

• High School diploma or GED preferred Must be 18 years of age
• 1-2 years of healthcare or customer service experience.

Physical Demands:

• Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

Work Environment:

• Normally works in climate controlled office environment
• Interaction with department members and other healthcare providers
• Frequent sitting with movement throughout office space
• Use of computers throughout work day
• Frequent use of keyboard with repetitive motion of hands, wrist and fingers
• Occasional high noise level in work environment
• This position involves frequent phone communication with patients and staff. All inbound and outbound calls are recorded and monitored for quality assurance, training, and compliance purposes.

Position requires compliance with department specific competencies.

Scheduled Weekly Hours: 32

Scheduled FTE: 0.8

Location: Orthopedic Spine and Pain Clinic - Appleton, Wisconsin

Overtime Exempt: No

Worker Shift Details: Days