Patient Access Specialist
Optum · Lafayette, CO · 1 mo ago
Healthcare$16–$29/hrFull-time
About the role
The Patient Access Specialist is responsible for the smooth operation and flow of patients within the registration area. This includes greeting patients, providing information, answering phones, registering patients and entering exam orders as required. They are also responsible for obtaining all demographics, insurance information, appropriate codes, and authorizations from patients (or their representatives) and physicians in a courteous and efficient manner for billing. Other duties pertinent to optimal patient experience, patient flow, and efficient staff utilization are also expected.
Location
1000 W South Boulder Rd, Lafayette, CO 80026
Responsibilities
- Interview patients to obtain demographic, billing, and insurance information and complete all registration steps
- Locate and process provider requisitions
- Determine insurance eligibility
- Determine patient payment and collect payment on insured and self-pay accounts
- Obtain signatures for necessary paperwork including, but not limited to, financial agreements and medical release, etc.
- Demonstrate thorough knowledge of EMTALA regulations
- Problem solves account registration issues when working reports and/or patient concerns
- Prioritize work according to departmental need
- Maintain proficiency on all necessary software modules
- Exercise good judgment in referring complex situations to the appropriate leadership team member
- Respond to patient questions, concerns and feedback, referring them to appropriate lead or supervisor
- Responsible for meeting all competencies as listed on the Competency Based Orientation and regularly scheduled competency check-offs
- Employees are expected to comply with all regulatory requirements, including Joint Commission Standards
- Is familiar with organization, department, and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials communications, Emergency Preparedness, Infection Control, and Medial Equipment failure
- Must adhere to Universal Precautions which includes: a) The use of protective barriers as appropriate; *gloves *masks *gowns *pocket masks *safety glasses, b) Handling and disposing of infectious waste appropriately, c) Hand washing as appropriate
- Keep up to date with all hospital policies and procedures
- Assist with coverage of open shifts when needed
- Attend staff meetings and all mandatory meetings as required
- Complete required hospital-wide trainings as required
- Report all supply needs, work related problems, or injuries to leadership
- Read and return all e-mail, phone calls
- Responsible for time keeping, clocking in and out according to established guidelines, as well as, reporting absences, leaves, and tardiness according to policy
- Ensure that all supplies and forms are stocked in the area
- Assists with other duties as requested
Required Qualifications
- High School Diploma/GED
- Ability to work 40 hours/week in the following schedule: Monday 7:00am-5:00p, Thursday 7:30am-6:00p, Friday 7:00am-7:00pm, Saturday 7:30am-3:00pm
Preferred Qualifications
- Experience with Microsoft Office products
- Experience in Customer Service Role
- Experience with Medical Records
- Experience in a Hospital Patient Registration Department, Physician office or any medical setting
- Experience in insurance reimbursement and financial verification
- Experience in requesting and processing financial payments
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Ability to perform basic mathematics for financial payments
Soft Skills
- Strong interpersonal, communication and customer service skills
Pay
The hourly pay for this role will range from $16 - $29 per hour based on full-time employment.