Patient Access Specialist

O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

This position pays between $17.00 - $18.15/hr based on experience.

This position is an onsite role at Methodist - North Hospital in Memphis, TN and candidates must be able to work on-site.

Job Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• Complete medical necessity / compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and utilize a overlay tool while providing excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls.
• Conduct audits of accounts and assure that all forms are completed accurately, timely to meet audit standards, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, including collecting point of service collections and past due balances, including payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures, and witness names.
• Distribute and document patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other forms implemented for future services.
• Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Screens of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribute the ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Experience

1+ years of customer service experience required.

Required Education

A High School Diploma/GED is required.

Required Certification

CRCR certification is required within 6 months of hire (company paid).