Patient Access Service Specialist

Job Summary:

Responsible for greeting, registering, collecting payments in compliance with the applicable State and Federal regulations, and hospital policies and procedures.  Is an ambassador of Good Samaritan, cultivating PRIDE values of patient, respect, integrity, dignity, and excellence.

Essential Job Duties:

1. Collects information via phone, in person (bedside or in a registration booth) to accurately register patients for outpatient, inpatient, emergency, and observation services.
2. Verifies insurance eligibility and discusses Advanced Beneficiary Notices (ABN) when appropriate.
3. Understands insurances and responses to correctly input for reimbursement on services received.
4. Collects, secures, and posts payments from patients.
5. Balances cash drawers, petty cash, and change functions
6. Provides Cross Coverage for all areas of Access Department
7. Performs Pre Register, Post Admit, and Work Queue functions
8. Admit Line Calls
9. Serves as a preceptor for new Access employees
10. Receives calls from departments and ancillary areas completing tasks required with minimum interruption to guests and patients
11. Knowledge of after-hours admits and patient order workflow
12. Use of Bed board/EVS bed census to ensure proper charges
13. Reviews all orders, enters corrections in Event ManagementWorks with Inpatient Rehabilitation Unit, Hospice, Behavioral health, physician offices, and outside hospitals for pre-registration of new admits and accounts to ensure proper charges to drop
14. Works with Utilization Review to update patient status and change in level of care status
15. Knowledge of all LOA procedures
16. Works with Nursing Supervisors recording outside admits and pre-registration of new admits gathering all information to ensure correct and complete registration, and assignment of beds
17. Ability to gauge patient acuity on patients who have a higher acuity level such as stroke, heart condition, etc. and report symptoms and call for help/immediate triage if necessary
18. Assist nurses, unit clerks, tech, and therapists as needed.
19. Communicate with patient family members on wait times.
20. Distribute physical therapy evaluation/Re-Assessment clipboards to patients to fill out.
21. Review referrals for therapy to see patients that still need insurance approval, ensure referrals are attached correctly to appointments, check referral statuses.
22. Communicate with Pre-Cert department on patients need additional approval for more visits.
23. Assist with printing therapist schedules and answering the phones as needed.

Secondary Job Duties That May be Reassigned:

1. Performs other duties as assigned by the Patient Access Supervisor or Director of Hospital Revenue Cycle.

Job Specifications:

• Education -- High School graduate, Associate's degree preferred.
• Experience --
• Knowledge of health care revenue cycle preferred.
• Must obtain certification as CPAS (Certified Patient Access Specialist) within 6 month of hire date.
• Insurance knowledge and terminology, and understanding of medical terminology preferred.
• Knowledge of medical billing and collection practices a plus.
• Proficient in spelling, grammar, punctuation, and other language skills.
• Proficient in keyboarding, data entry, and business writing.
• Ability to convey a positive and professional image to patients and employees.
• Ability to establish and nurture beneficial business relationships.
• Maintain composure in high pressure situations.