Patient Access Lead- Full Time

About the role

The Patient Access Specialist is a vital part of the hospital; they are the “first impression” of the health system. This person will greet patients by phone or in person with kindness and respect; by scheduling appropriately they will optimize both patient satisfaction and provider time. Great customer service is a MUST for this position. This candidate will be trained on all shifts and in two locations of the hospital where patient access is located. Must have full understanding of HIPAA.

Responsibilities

• Answering multi-line phones.
• Register new patients and update necessary records.
• Treat all patients and associates with respect, dignity, and provide professional service to them in a timely, polite and considerate manner.
• Distribute forms and paperwork to patients and ensure required fields are completed appropriately.
• Maintain confidentiality of all patient records and remain in compliance with HIPAA requirements.
• Verify insurance coverage and benefits and collect payments.
• Complete daily collection report, audit amount collected by staff and turn into accounting.
• Overseeing inpatient authorizations and compliance documents.
• Responsible for training and assisting Patient Access staff.
• Participate in interviewing applicants for department postings.
• Assist with scheduling, staffing coverage, PTO, and timecard monitoring/approval.
• Responsible for after-hours phone calls from staff, with an alternating schedule with the PFSS.
• Provide coverage and assistance with PFSS duties, including patient phone calls, Patient Liability Estimate/Good Faith Estimate, patient payment plan and other immediate needs.
• Cover staff shortage shifts as needed.
• Continuously monitoring MSP questionnaire completion on a daily, weekly, monthly, quarterly and annual basis.
• Review of Patient Access Representative accounts for patient and delinquent balances.
• Assist with staff questions, education, and daily department needs.
• Participate in quality improvement projects and attend training and meetings as required.
• Maintains awareness of current quality and safety measures on the unit and follows guidelines or reporting measures to ensure safety of patients, visitors, and staff.
• Knowledge and skills in quality improvement and research methodologies.
• Assist with running weekly reports for the organization related to the Patient Access Department.
• Assist patients with Medicaid applications and/or renewals and other insurance/self-pay questions by phone or in person.
• Performs other related duties as assigned.

Qualifications

• Great customer service is a MUST.
• Must have full understanding of HIPAA.
• Must be trained on all shifts and in two locations of the hospital where patient access is located.