Patient Access Specialist - Full Time - Days
Position Summary
The Patient Access Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrating a strong commitment to service excellence. The Patient Access Specialist is responsible for obtaining demographic, insurance, and medical information to ensure an accurate and complete registration. Performing insurance verification, data collection and documentation. Determining medical necessity for services based on established medical criteria. Identifying patient financial responsibilities and collecting applicable monies. Acting as a liaison to all internal and external customers to facilitate access to hospital services. Securing all necessary documentation to register the patient's visit. Performing other duties as assigned.
Team Member Competencies
- Establishing Relationships - Builds effective networks, working relationships, and alliances in order to collaborate effectively within the department and organization.
- 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 so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.
- Acting with Integrity - Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations.
Physical Requirements
- Involves daily contact with insurance companies and/or patients, by writing, telephone, via computer programs and/or in person within an office environment.
- Requires sitting for long periods of time, also stooping, bending, standing, and stretching.
- May require lifting up to 20 lbs.
- Must have manual dexterity for typing and computer data entry.
Threshold Requirements
- 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).