Patient Access Specialist II

Bayhealth · Dover, DE · 1 wk ago

Internship

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand.

Pay

Salary range: $18.27 - $27.40 hourly

Schedule

Full Time (80 hours)
Day/Evening shift

Benefits

Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision insurance options
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Voluntary Benefits including Critical Care Coverage and more

About the role

The Patient Access Specialist II is the second level role of the Patient Access career path. Under the supervision of the Patient Access Supervisor and Team Lead, the Patient Access Specialist II (PAS II) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. In addition to proper registration, the PAS II is responsible for resolving eligibility and authorization issues with accounts. The PAS II assists with the training of new employees and provides cross-support in other Patient Access areas within the home department. The PAS II must demonstrate competence in each essential duty to become eligible for the Team Lead position. A minimum of three years revenue cycle experience is required for consideration for the Team Lead.

Responsibilities

Assists with training as needed and helps peers with more complicated and complex functions.
Completes direct admissions as needed (when applicable).
Reviews and resolves account errors in assigned work queues.
Acts as a System(s) Super User.
Ensures timely and precise completion of each registration, following all department processes and procedures.
Verifies that all demographic and insurance information is accurate; utilizes Epic, payer websites, or telephone for insurance verification.
Obtains current copies of insurance cards and photo identification.
Secures patient signatures for required forms.
Enters data related to procedures, tests, and diagnoses (when applicable).
Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines.
Obtains and verifies the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
Identifies the patient using two-factor identification.
Complies with EMTALA regulation when creating the quick registration account (when applicable).
Ensures authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable.
Notifies supervisor of any insurance authorization issues.
Completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
Performs point of service collections: meets monthly collection goals, has financial conversations with patients regarding 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, reconciles payments against deposit totals.
Maintains qualitative and quantitative individual and team performance targets.
Takes initiative to continuously learn all aspects of Patient Access II role to support progressive responsibility.
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.
Interacts with co-workers, visitors, and other staff consistent with Bayhealth values.
Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols.
Assists patients with referral needs in obtaining additional appointments with specialists and insurance approval authorization for additional visits.
Patient flow (as applicable) - maintains efficient patient flow in the registration and check-in process.
Accurately completes reception duties in accordance with policies.
Performs all other duties as assigned within the scope and range of job responsibilities.

Requirements

High School Diploma or GED
Two (2) years’ experience in a healthcare patient-facing role

Preferred Qualifications

Associate Degree in Business Administration or related field
Revenue Cycle experience