Patient Access Specialist I

Job Description

Job Description

Department:
Patient Access

Schedule/Status:
Varies: Full Time

Standard Hours/Week:
40

General Description:  
This position reports to the Patient Access Manager and/or Supervisor. The Patient Access Specialist I - is responsible for promoting and demonstrating Parrish Healthcare’s Culture of Choice®; Performs Scheduling or Authorization duties. Interviews patients to obtain all pertinent demographic, insurance, and clinical information for entry into EMR. Contact providers as needed. Is knowledgeable in the scheduling and authorization processes for common insurance carriers for services performed in hospital and clinic locations. The position shall exemplify the desired Culture of Choice® and philosophies of Parrish Healthcare.

Key Responsibilities:

• All interactions are conducted in a professional manner, following H.E.A.R.T. guidelines, to provide exemplary Customer Service as evidenced by leadership evaluation, peer and customer feedback. 
• Data obtained and entered into the system is accurate and free of errors and is complete. 
• All processes requiring verification/signatures/authorizations are completed in a timely and accurate manner. 
• Understand/explain policies regarding services, medical necessities, and scheduling and authorization processes.
• Obtain or create copies of necessary supporting documentation and ensure they are saved according to policy. 
• Works with physician offices and ancillary departments, providing information when necessary or forwarding relevant documents, is a resource for other care partners. 
• Answer incoming calls in a timely and professional manner and meet the number of completed interactions currently established for the department, often excelling in work volume produced. 
• Make outgoing calls to patients and providers as needed to schedule appointments and or obtain updated/corrected order information; and meet the number of completed interactions currently established by the department, often excelling in work volume produced.
• All duties are conducted as per standard operating policies or generally accepted practices, meeting or exceeding performance expectations, and completing work within the required timeframe; often taking on more work. 
• Attends in-service presentations and completes mandatory education Successfully complete annual net learning modules and other assigned classes by established deadlines.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”. 
• Follow EMTALA, HIPAA and other regulatory guidelines. 
• Proactively identify problems and issues within the department and the hospital and informs department leader; regularly provides constructive feedback and suggestions for departmental process improvement.
• Performs similar or related duties as assigned. 
• Knows fire, disaster and safety procedures and regulations as it pertains to the work area.

Formal Education:

• High School Diploma or GED required.

Work Experience:

• Minimum of 1 year experience in Patient Access at PMC/Parrish Healthcare required. Also, the employee must exceed all work standards: Quality - 99% accuracy on IPlan Assignment POS Collections meets or exceeds 85% of collectable amounts Consistently meets or exceeds productivity requirement for assigned tasks Requires VP/ Executive Director and Patient Access Director approval of promotion to this position

Required Licenses, Certifications, Registrations:

• N/A

Full Time Benefits:  
Eligible to participate in a number of PMC-sponsored benefits, including: 

• Benefits Start on Day 1 
• Health, Dental and Vision Insurance 
• 403(b) Retirement Program 
• Tuition Reimbursement/Educational Assistance 
• EAP, Flex Spending, Accident, Critical and Other Applicable Benefits 
• Annual Accrual of 152 Personal Leave Bank (PLB) Hours