Patient Access Specialist - Green Bay Full Time
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
Job Responsibilities
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
Adequately adheres to policies and provides excellent customer service in these interactions with the appropriate level of compassion.
Is held accountable for point of service goals as assigned.
Is responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Pre-registers 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.
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name. Explains and distributes 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.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Experience & Education
1+ years of customer service experience
High School Diploma/GED required
RCCR certification required within 9 months of hire (company paid)
Qualifications
Associates in Health Information Management preferred
Knowledge of HIPAA regulations
Ability to perform basic math calculations
Ability to communicate effectively both verbally and in writing
Ability to multitask and prioritize tasks
Ability to work independently and as part of a team
Ability to handle confidential information
Ability to work flexible hours including weekends and holidays
Benefits
Comprehensive benefits package
Professional certifications
Tuition reimbursement
Time off
Retirement
Well-being programs
Pay & Schedule
This position pays between $17.00 - $18.15 based on experience
This position is an onsite role, and candidates must be able to work on-site at HSHS - St Vincent's Hospital in Green Bay, WI
Available Shifts: Full Time: Days 11a-730p, 4 - 8 hour shifts, every 4th weekend (weekends are 12 hr shifts) and holidays and on call weekends.