Patient Access Specialist- Full Time - Days

About the Organization

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques, and a commitment to serving the community enable Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie, and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Qualifications

• High School Graduate or equivalent.
• BLS certification through the American Heart Association for Healthcare Providers is required within 90 days of hire.
• Enthusiastic, friendly, patient-focused customer service skills.
• Exemplary communication skills, written and verbal – must be comfortable speaking to patients via phone and in person and successfully communicate pertinent information.
• Must be a team player with the ability to collaborate interdepartmentally and with clinical staff.
• Capacity to multi-task with computer programs while providing patients the highest level of care and attention.
• Ability to self-direct and exercise independent judgment in situations requiring follow-up and discussions with clinical staff and/or other areas of Patient Access to ensure completeness of task and customer satisfaction.
• Works well in a team environment to accomplish common tasks, solve problems, and enhance the smooth and efficient flow of the department.

Experience

• Minimum 2 years experience with hospital insurance plans including Medicare, Medicaid, HMO's, and PPO's.
• Excellent typing and computer skills.
• Familiarity with area managed care plans and contractual terms.
• Two to four years of healthcare experience in the outpatient setting.
• Knowledge of outpatient procedures and medical terminology required.
• Knowledge of Federal and third-party payor requirements.

Responsibilities

• Deliver a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence.
• Obtain demographic, insurance, and medical information to ensure an accurate and complete registration.
• Perform insurance verification, data collection, and documentation.
• Determine medical necessity for services based on established medical criteria.
• Identify patient financial responsibilities and collect applicable monies.
• Act as liaison to all internal and external customers to facilitate access to hospital services.
• Secure all necessary documentation to register the patient's visit.
• Perform other duties as assigned.

Team Member Competencies

• Establishing Relationships: Builds effective networks, working relationships, and alliances to collaborate effectively within the department and organization. Relates to all kinds of people regardless of background and finds common interests to build rapport.
• Peer Support: Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
• Inspiring and Motivating Others: Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments.
• Demonstrating Emotional Intelligence: Exercises self-leadership, self-awareness, and self-regulation; manages emotions appropriately and leads others by showcasing adaptability, empathy, and social skills.
• Acting with Integrity: Interacts with others in a direct and truthful manner; ensures confidence in individual and organizational motives. Acts consistently with personal and organizational values.
• Being a Champion for Change and Innovation: Supports people in efforts to try new things, thinks creatively, and adapts to change.
• Communicating Effectively: Speaks and writes clearly, tailors messages to fit the audience, and listens attentively with tact and discretion.
• Promoting Diversity and Inclusion: Treats all people with dignity and respect, challenges bias, and encourages practices that support cultural diversity.

Physical Requirements

• Requires sitting for long periods of time, as well as stooping, bending, standing, and stretching.
• Must have manual dexterity for typing and computer data entry.
• Able to work under a stressful environment, work independently, make sound decisions, and be detail-oriented, alert, and self-motivated.
• Ability to push/pull up to 40 lbs., carry and lift up to 20 lbs.
• Travel as needed.

Threshold Requirements

These threshold requirements are completed on a yearly basis:

• Annual Joint Commission mandatory education requirements, in-service, and health requirements including attendance at new employee orientation.
• TB/PPD Surveillance Program.
• Maintenance of required professional licensing and/or certification(s).