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).

About the Role

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 role involves obtaining demographic, insurance, and medical information to ensure accurate and complete registration, performing insurance verification, data collection, and documentation.

Responsibilities

• Determine medical necessity for services based on established medical criteria.
• Identify patient financial responsibilities and collect applicable monies.
• Act as a 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.

Requirements

• BLS certification through the American Heart Association for Healthcare Providers.
• Billing and coding certification preferred.
• Experience required in using EMR systems, insurance verification, eligibility, and electronic billing.
• General and specific knowledge of health insurance plans and interpretation of health insurance benefits.
• Ability to maintain confidentiality.
• Experience in a customer support role.
• Medical terminology knowledge.
• Proficient skills in computer applications such as Microsoft Office.
• Ability to set priorities and manage time effectively.
• Flexible, service-oriented, and dedicated.
• Exceptional communication skills both verbally and in writing.
• Superior organizational skills, attention to detail, and ability to multi-task.
• Strong interpersonal skills, listening, and ability to carefully follow directions.

Qualifications

High School Graduate or Equivalent.

Team Member Competencies

• Establishing Relationships: Builds effective networks, working relationships, and alliances to collaborate within the department and organization. Relates to all kinds of people regardless of background.
• 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 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 trying new things, thinks creatively, and adapts to change.
• Communicating Effectively: Speaks and writes clearly, tailors messages to fit the audience, and listens attentively.
• 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, 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.

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).

This is not necessarily an extensive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Management reserves the right to revise the job or require other or different tasks when circumstances change.