Patient Access Specialist

Job Responsibilities

• Possess accuracy skills to ensures 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.
• Able 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.
• Calls insurance companies for precertification’s and authorizations.
• Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with hospital policy.
• Completes inventory and order specific supplies for 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.
• Trained to work all areas of Patient Registration and Switchboard daily operations.
• Responsible to train other Patient Access Associates in all duties.

Specific Measurable Objectives

• 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 work load dictates.
• If working non-patient registrations during this 8-hour shift, consistently register around 60 per day.
• Each Specialist is expected to maintain a 3% or less weekly error rate.

Education Requirements

• Minimum: High School Diploma or equivalent.
• Preferred: High School Diploma and Certified HealthCare Access Associate (CHAA) Certification or national recognized PFS Certification.

Experience Requirements

• 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.

Licenses/Certifications

• Minimum: None.