Patient Access Specialist, PRN, Days

About the role

Inspire health. Serve with compassion. Be the difference. The shift is from 6:45 am – 3:15 pm, every other Saturday and Sunday, includes holidays and weekends, in the Emergency Department. Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions.

Responsibilities

• Interview patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information.
• Enter accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines.
• Follow up for incomplete and missing information.
• Verify insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor; document obtained information in the system.
• Assign appropriate insurance plan from the third-party database; ensure insurance priorities are correct based on third-party requirements/COB.
• Initiate pre-certification process as required according to Departmental Guidelines; obtain signed waiver for cases where pre-certification is required but not yet obtained.
• Obtain necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter.
• Receive payments and issue receipts, actively working toward collection goals.
• Maintain cash funds/verification logs and make daily deposits according to departmental policies and procedures.
• Prepare and distribute appropriate reports, documents, and patient identification items as required (Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc.).
• Communicate to patients their estimated financial responsibility; request payment prior to or at the time of service.
• Refer patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program.
• Perform other duties as assigned.

Requirements

• Education: High School diploma or equivalent OR post-high school diploma/highest degree earned.
• Experience: Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service.

Skills

• Basic computer skills (word processing, spreadsheets, database, data entry).
• Knowledge of office equipment (fax/copier).
• Mathematical skills.
• Registration and scheduling experience – Preferred.
• Familiarity with medical terminology – Preferred.

Schedule

Day shift (United States of America).

Location

Baptist Facility, Corporate Department: Patient Access - Baptist.