Patient Access Specialist I

Responsibilities

• Meets the needs of the patient/patient representative by using clear and respectful communication while obtaining necessary information.
• Timely and precise completion of each registration, following all department processes and procedures.
• Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification.
• Obtains and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
• Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines.
• Identify the patient using two factor identification.
• Complies with EMTALA regulation when creating the quick registration account (when applicable).
• Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable.
• Notify supervisor of any insurance authorization issues.
• As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
• Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their co-payments, deductibles, co-insurance, deposit amounts and outstanding balances.
• Documents payments/actions in the EHR and provides the patient with a payment estimate (when applicable).
• Follows cash drawer balancing procedures, as appropriate, reconciles payments against deposit totals.
• Review and resolve account errors in assigned work queues.
• Maintain qualitative and quantitative individual and team performance targets.
• Responds to disaster and mass casualty situations in a calm and appropriate fashion.
• Maintains and understands the emergency management processes and procedures specific to that unit.
• Adheres to department and system policies.
• Interact with co-workers, visitors, and other staff consistent with the Bayhealth values.
• Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols.
• Aid patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
• Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process.
• Accurately complete reception duties in accordance with policies.

Qualifications

A minimum of one-year patient registration experience in the assigned department is required for consideration for PAS II. A minimum of one-year patient registration experience in the assigned department is required for consideration for PAS II.

Benefits

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and Dependent Care Flex Spending Accounts Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!