Patient Access Specialist

About the role

This position is responsible for performing admitting duties for all patients admitted for services at the hospital. The Representative will work within the policies and processes as they are being performed across the entire organization, meeting the mission and goals of the organization and all regulatory compliance requirements.

Responsibilities

• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while providing excellent customer service as measured by Press Ganey
• Operate the telephone switchboard to relay incoming, outgoing and inter-office calls as applicable, adhering to policies and providing excellent customer service with the appropriate level of compassion
• Meet point of service goals as assigned
• Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities
• Conduct audits of accounts and assure all forms are completed accurately and timely to meet audit standards, providing 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, as well as patient financial liabilities including point of service collections and past due balances
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness name
• Explain and distribute 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
• Review eligibility responses in insurance verification system, appropriately select applicable insurance plan code, enter benefit data into system to support POS collections and billing processes to assist with a clean claim rate
• Accurately screen 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

Requirements

• 1+ years of customer service experience required
• High School Diploma/GED required
• CRCR Certification required within 6 months of hire (Company Paid)

Pay

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

Schedule

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

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits
• Career advancement