Patient Access Specialist

About the role

The Opportunity: Job Description ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement. This position pays between $17.00 - $18.15/hr based on experience. Hours are 6a-6:30p 3 days a week, varied days and weekends. This position is an onsite role and candidates must be able to work on-site at Mercy - Lourdes Hospital in Paducah, KY.

Responsibilities

• Performing admitting duties for all patients admitted for services at the hospital.
• Completing medical necessity / compliance checks.
• Providing proper patient instructions.
• Collecting insurance information.
• Receiving and processing physician orders.
• Utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.
• Operating the telephone switchboard to relay incoming, out-going and inter-office calls.
• Conducting audits of accounts and ensuring all forms are completed accurately, timely to meet audit standards.
• Pre-registering patient accounts prior to patient visits.
• Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witnesses name.
• Distributing patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
• Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code.
• Screens of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distributing the ABN as appropriate.
• Distribution and documentation of other designated forms and pamphlets.

Requirements

• 1+ years of customer service experience.
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Qualifications

• High School Diploma/GED.
• Required Certification: CRCR Required within 6 months of hire (Company Paid).

Skills

• Customer Service.
• Medical Necessity Screening.
• Insurance Processing.
• Telephone Switchboard Operations.
• Audit and Reporting Systems.

Benefits

• Comprehensive Benefits Package.
• Professional Development Opportunities.
• Incentive Programs.
• Well-being Programs.
• Retirement Plans.

Pay

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

Schedule

Hours are 6a-6:30p 3 days a week, varied days and weekends.