Access Center Specialist

Primary Purpose

Responds to various inbound phone calls, emails, and electronic requests to assist patients, business staff, and medical staff. Schedules routine and complex appointments for all Parkland patients in a manner that ensures optimal use of providers' time and patient satisfaction.

MINIMUM SPECIFICATIONS

• Education: High school diploma or GED required.
• Experience: Three (3) years of customer service experience, preferably in a medical, health care, and/or call center. One (1) year of referral management and/or insurance plan identification is preferred.
• Equivalent Education and/or Experience: May have an equivalent experience to substitute for the education requirements.
• Certification/Registration/Licensure: Medical Terminology Course Certificate preferred.

Responsibilities

• Assists patients in various avenues of obtaining access to care such as appointment scheduling, referral processing, medication refill requests, insurance coverage updates, and/or access to electronic portals like MyChart, etc.
• Performs registration functions, gathers data elements to include verifying patient identification, patient demographics, and all third-party funding payors.
• Verifies patient information, updates patient demographics.
• Maintains awareness of specialty clinic pre-clinical acceptance guidelines and scheduling instructions.
• Ensures all entries into patient medical records are clear, concise, and in accordance with documentation standards.
• Properly utilizes and makes updates to/from clinical recall/wait list in accordance with clinic procedures.
• Identifies and updates patient funding information; communicates financial responsibility including co-payments and fees; completes benefit verification as required by financial classification; educates patient on financial classification process.
• Responds to, and resolves routine inquiries, complaints, and concerns through inbound phone calls, emails, and electronic requests.
• Identifies emergent health situations based on caller information and activates appropriate response team in accordance with department procedures.
• Maximizes personal flexibility to assist in closing scheduling gaps as needed.
• Uses assigned desktop/laptop and any applicable hardware/software in accordance with departmental procedures and Parkland policies.
• Stays abreast of personal performance results; maintains acceptable productivity and quality standards as established by management.
• Participates in team building and other morale booster activities.
• Reports to leadership or via defined reporting tool any safety concerns, policy concerns as needed.
• Completes job required training by assigned due dates.

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.