PATIENT ACCESS CENTER SPECIALIST

About the Role

Performs routine registration, data collection, and administrative tasks to admit patients to a healthcare facility. Inputs patient demographic information into the designated system, collects and validates insurance or financial information. Reviews paperwork and obtains all necessary consents and signatures from patients or family. Explains the facility's policies and procedures and answers routine questions. Follows all established policies and standards to preserve patient confidentiality, ensure data security, and comply with all applicable regulations.

Responsibilities

• Answers, screens, and routes all incoming calls professionally in a timely manner, functioning as a central communication source for the clinic, patients, patients’ family physician, and external sources.
• Responds to voicemails daily.
• Exhibits pleasant interpersonal skills in greeting patients at the office and on the telephone.
• Ensures superior ongoing patient satisfaction and customer service.
• Is proficient in EHR applications.
• Creates appropriate tasks for clinical staff to achieve timely follow-up.
• Accurate interview and registration of new patients as well as updating demographic and insurance information on established patients.
• Accurate input of demographic, guarantor, and insurance information into EHR.
• Obtains signature(s) of patient and/or responsible parties on consent, insurance, and payment policies and procedures.
• Communicates to the patients the details of consents, filing of insurance, and payment of services. Assists patients in understanding billing and collection of payment.
• Collects and scans insurance cards or completed insurance forms from patients.
• Identifies, follows up, and secures missing (and incorrect) patient and insured party information for clean claim processing.
• Schedules patients for office appointments, maintaining parameters of provider schedules and following clinic standards and guidelines.
• Performs cashier duties including maintaining cash box and daily cash reconciliation.
• Verifies insurance eligibility for all patients’ appointments 2 days prior to the appointment.
• Collects co-payments, co-insurance amounts, and/or time-of-service payments at the time of check-in, including self-pay discount and forwarding adjustment form to PFS for processing.
• Makes appointment reminder calls.
• Destroys confidential information per HIPAA guidelines.
• Secures confidential items nightly, including Electronic Health Records (EHR) and paper medical records.
• Maintains phone system including message retrieval and controls day and night mode functions.
• Actively participates in Strategic Quality Management for the department and organization.
• Actively participates in Customer/Guest Relations and Mandatory Education programs.
• Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital, department, and clinic policies and procedures.
• Other duties as assigned.

Requirements

• High school diploma or GED required.
• Experience in a healthcare-related field preferred.
• Must be free from governmental sanctions involving healthcare and/or financial practices.