Patient Access Specialist
About the role
The Patient Access Specialist will ensure the quality of patient registrations by obtaining thorough and accurate information in a timely and efficient manner. The Patient Access Specialist interacts and coordinates with other hospital departments and/or Physician staff to ensure quality care for all patients.
Responsibilities
- Possess accuracy skills to ensure that all documents are properly signed and witnessed as required.
- Maintain and apply knowledge of current registration requirements.
- Advise and coordinate patient account information with other department staff, clinical staff and/or UR/Case management.
- Ability to work well under pressure and remain calm while maintaining positive patient and physician relations.
- Recognize accounts that should be referred to management for assistance.
- Evaluate patient visits/registrations and make recommendations for corrections as needed.
- Call insurance companies for precertifications and authorizations.
- Serve as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with hospital policy.
- Complete inventory and order specific supplies for the department and keep supplies in proper storage areas so supplies and equipment are readily accessible.
- Maintain compliance with EMTALA and HIPAA rules and regulations.
- Interview the patient/guarantor to obtain complete demographic, clinical, billing, insurance, and financial information.
- Be trained to work all areas of Patient Registration and Switchboard daily operations.
- Responsible to train other Patient Access Associates in all duties.
- Perform other duties as assigned.
- Maintain an annual appraisal score of 2.0 or greater.
- Consistently register 40 patients per 8‑hour shift (with the possibility of more than 40 if workload dictates).
- If working non‑patient registrations during the 8‑hour shift, consistently register around 60 per day.
- Maintain a 3% or less weekly error rate.
Requirements
Education: Minimum: High School Diploma or equivalent. Preferred: High School Diploma and Certified HealthCare Access Associate (CHAA) Certification or nationally recognized PFS Certification.
Experience: Minimum: three (3) or more years of customer service or related experience. Preferred: Three (3) or more years experience in Patient Access Registration in an acute care hospital and/or physician office setting.
Qualifications
License/Certification Requirements: Minimum: None.
Schedule
Second Shift: 3 p.m. – 11:30 p.m.