Patient Access Specialist FT
O.N.E Purpose
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
About the Role
The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Responsibilities
Assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.
Operating the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. Adhering to policies and providing excellent customer service in these interactions with the appropriate level of compassion.
Conducting audits of accounts and ensuring all forms are completed accurately, timely to meet audit standards and providing statistical data to Patient Access leadership.
Pre-registering patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witnesses name. Explaining and distributing patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code, entering benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distributing the ABN as appropriate.
Distributing and documenting other designated forms and pamphlets.
Requirements
1+ years of customer service experience
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
Qualifications
High School Diploma/GED
Required Certification: CRCR Required within 6 months of hire (Company Paid)
Skills
Knowledge of healthcare regulations and compliance
Excellent communication and interpersonal skills
Ability to multitask and prioritize tasks effectively
Proficiency in Microsoft Office Suite
Benefits
Comprehensive benefits package
Professional certifications
Tuition reimbursement
Flexible work arrangements
Employee recognition programs
Equal employment opportunity
Pay
This position pays between $17.00 - $18.15/hr based on experience.
Schedule
This is an on-site position at Tallahassee Memorial Hospital.