Patient Access Specialist

About the role

The Patient Access Specialist will be trained to work all areas of Patient Registration and Switchboard daily operations. Responsible to train other Patient Access Associates in all duties.

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
• Calls insurance companies for precertifications and authorizations
• Serves 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 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
• Perform other duties as assigned

Performance metrics

• Must 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 this 8-hour shift, consistently register around 60 per day
• Each Specialist is expected to maintain a 3% or less weekly error rate

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 of experience in Patient Access Registration in an acute care hospital and/or physician office setting.

License/Certification requirements

Minimum: None.