Patient Access Specialist

Description

Job Summary
To obtain all necessary information for admission including pre-registration insurance verification/authorization collection of deposits and amounts due prior to discharge. Performs all other duties as assigned.
Required Population Served

Job Responsibilities
Register and review account for patients by utilizing hospital computer systems according to Job Guidance Sheets. Assign insurance to patients account according to the Job Guidance Sheet. Ensure all information is obtained and entered accurately. Allotted percentages: 96 - 100% Excellent 91 - 95% Exceeds 86 - 90% Meets 81 - 85% Partial 80% or less Unacceptable. 25 %
Identification and verification of any components that may affect reimbursement. Follow up with appropriate staff to obtain authorization prior to scheduled procedures. Allotted exceptions: 0 Excellent 1-3 Exceeds 4-6 Meets 7-9 Partial 10 or more Unacceptable. 20 %
Review account to determine patient financial responsibility prior to service. Collect deductible co-pays etc. according to hospital financial policy as applicable. 20 %
Completes assigned reports and/or queues within specified timeframes. 15 %
Maintain hospital Master Patient Index (MPI). Search MPI at time of registration for existing medical record unit number. Use existing number to register patient. Avoid creating duplicate entries in the MPI. Allotted exceptions: 0 Excellent 1-3 Exceeds 4-6 Meets 7-9 Partial 10 or more Unacceptable. 10 %
Achieve patient throughput standards while maintaining accuracy. Average patient wait times less than 5 minutes. Allotted percentages: 96 - 100% Excellent 91 - 95% Exceeds 86 - 90% Meets 81 - 85% Partial 80% or less Unacceptable. 10 %

Experience
Minimum Required:
1 year General - Business Required.

Preferred:
1 year Health/Medical - Business Preferred.
Education
Minimum Required
High School Diploma or Equivalent Required.

Preferred:
2 years of college Preferred or associates degree Preferred.
Special Skills
Minimum Required:
Skill in communicating clearly and effectively using standard English in written oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Basic computer skills ability to perform basic math computation. Type 35 words per minute. Excellent customer service and communication skills. Ability to speak articulate and be understood clearly.
Licensure

NA

Required Experience:

IC