Patient Access Specialist, Blount, PRN, Evening

About the Role

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions.

Responsibilities

• Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data, and employment information.
• Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information.
• Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Documents information obtained through insurance verification in the system.
• Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/COB.
• Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained.
• Obtains necessary signatures and other information on appropriate forms and documents, including Consent Form, Liability Assignment, and Waiver Letter.
• Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.
• Prepares and distributes appropriate reports, documents, and patient identification items, such as Privacy Notice, Patient Rights and Responsibilities, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, and patient valuables.
• Communicates to patients their estimated financial responsibility. Requests payment prior to or at the time of service. Refers patients needing extended terms to the Medical Services Payment Program and those needing financial assistance to appropriate programs.
• Performs other duties as assigned.

Requirements

• High School diploma or equivalent OR post-high school diploma/highest degree earned.
• Two (2) years of experience in Admissions, Billing, Collections, Insurance, and/or Customer Service.

Skills

• Basic computer skills (word processing, spreadsheets, database, data entry).
• Knowledge of office equipment (fax/copier).
• Mathematical skills.
• Registration and scheduling experience (preferred).
• Familiarity with medical terminology (preferred).

Schedule

Evening (United States of America)

Location

Blount Memorial Hospital