Patient Access Specialist - Patient Access
About the role
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. Requires a high level of public contact and excellent interpersonal skills. Ability to work in a fast-paced metric-driven environment that is patient-centered.
Responsibilities
- Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs.
- Enters accurate patient information into the electronic health record.
- Maintains confidentiality of patient information and complies with HIPAA regulations.
- Correctly transcribes and validates patient orders.
- Schedule, reschedule, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.
- Verifies and correctly assigns insurance coverages based on eligibility responses.
- Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or outstanding balances.
- Maintains a work queue to ensure timely resolution.
- Serves as a preceptor for the Revenue Cycle Shadowing program.
- Serves as a preceptor/mentor for Patient Access Representatives and assists with patient escalations.
- Advocates for patient portal (MyChart) engagement and activates upon patient request.
- Assists patients with navigation and troubleshooting in MyChart.
- Identifies areas of opportunity to increase productivity and improve Key Performance Indicators (KPIs).
- Assists with wayfinding and connecting patients to care.
- Identifies process opportunities and participates in department improvement initiatives.
Qualifications/Training
- Successfully mastered the role of Patient Access Representative (Level I).
- Strong interpersonal and communication skills.
- Advanced knowledge of Windows computer system, including Microsoft Office products.
- Prior healthcare, medical office, or insurance experience required.
- If applicable, minimum 2 years experience in call center environment, preferred.
- Strong attention to detail while demonstrating ability to problem-solve.
Additional Requirements
- Mets or exceeds departmental goals.
- Does not have more than four (4) unapproved occurrences in a rolling twelve-month period.
- If applicable, must pass department competency test and complete all required department training.
Licenses/Certifications/Registrations/Education
- HS diploma/GED from an accredited school preferred.
About Us
Founded in 1906, McLeod Health is a locally owned and managed, not-for-profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.
About The Team
If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal opportunity employer.