Sr Patient Access Specialist

Sr Patient Access Specialist

Responsible for ensuring the appropriate levels of complex patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction

Ensures the appropriateness of complex registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol

Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol

Acts as a liaison to resolve complex patient access and account issues, responds to questions on reimbursement and serves as a resource and systems expert for patient access specialists, including on-the-job training; assess DNB work queues for performance improvement and appropriateness of complex patient access transactions

Provides guidance, feedback and training to staff on multiple processes, payers and systems; monitors work queue assignments and assess productivity

Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values

At least 5 years customer service experience with three years of healthcare experience including Patient Access operations activities required

Extensive knowledge of general procedures and guidelines used by health insurance companies, government agencies, employer benefit departments and internal departments as they relate to registration required

Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and minimum of 40 words per minute required

Ability to develop and maintain productive working relationships to fully integrate within a team required

Proficient in English, written and verbal, communication skills required

High school diploma or equivalent required

Two-year Associate's degree or equivalent experience required

National Association of Healthcare Access Management CHAA Certification preferred

Epic Proficiency or Certification with ADT/Prelude preferred

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Employee portion of medical plan premiums are covered after 3 years.

4%-10% employee savings plan match based on tenure

Paid Parental Leave (up to 12 weeks)

Caregiver Leave

Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.