JOB SUMMARY:
The Patient Access Specialist is responsible for working return mail daily, billing, entering various data in the system, and in the absence of the Manage Care Specialist, completes their duties.
The Patient Access Specialist reports directly to the Director of Patient Services.
QUALIFICATIONS:
- Education:
- High School graduate with related subjects in general business.
- Computer knowledge
- Medical terminology.
- Good customer service skills.
- Licensure/Certification:
- N/A
- Work Experience:
- General office experience preferably with insurance claims knowledge.
- Ability to operate various office machines.
- Be able to work independently and make reasonable decisions while maintaining confidentiality.
RESPONSIBILITIES/JOB DUTIES:
- Registers all patients with verification of patient and insurance information Verify information through the Precertification Department to secure authorization or precertification for testing.
- Scans and Files physician orders that are faxed or brought to the admitting area.
- Relieves cashier and PBX operator as needed.
- Working daily selection reports to check for accuracy on past accounts.
- All other assigned duties which may include providing information to patients, & answering and responding to telephone calls in the area.
- Other duties as assigned.
REQUIRED STAFF COMPETENCIES:
- Demonstrates support for organizational and departmental mission.
- Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives.
- Fosters and promotes teamwork within department and the organization as a whole.
- Works to resolves conflicts constructively and in a timely manner.
- Ability to communicate effectively and simply with every customer and co-worker.
- Ability to display a positive, courteous and friendly attitude toward all contacts.
- Ability to build good relationships with others based upon a sustained effort of mutual support toward common goals.
- Ability to exercise good judgment, reasoning and concentration to detail and to take personal accountability for all actions in carrying out job duties.
- Is customer focused and committed to Quality and Process Improvement with a strong desire to provide service excellence.
- Possesses and displays a strong knowledge and understanding of the standards of practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.
- Possesses a vigorous and enthusiastic desire to learn and to grow both personally and professionally, and to improve one's skills in order to deliver the best possible care for our customers.
WORKING CONDITIONS:
- General office setting. No exposure to extremes in temperature, lighting or noise.
- Requires prolonged sitting.
- Requires frequent keyboarding.
- Significant time spent looking at computer monitor.
PHYSICAL AND MENTAL REQUIREMENTS (ADA COMPLIANCE)
Frequency Scale: 1 = Rarely/Never; 2 = Occasionally; 3 = Frequently and 4 = Consistently
Talking
- Normal Conversations: 4 = Consistently
- Loud Commands or Public Speaking: 1 = Rarely/Never
4 = Consistently Hand-Eye Coordination Sitting Analytical Thinking Attention to Detail
Concentration
Decision Making
Reading
Writing Hearing - Normal Conversations
- Other Sounds or Auditory Alarms: Vision - Acuity, Near - Acuity, Far - Color Vision Use of Hands - General Manual Dexterity - Keyboard Skills or Typing Memory - Short term
- Long Term
3 = Frequently
Reaching
Standing
Walking
Range of Motion
- Arms
- Shoulders
2 = Occasionally Lifting - Over 50# - Over 25# - Under 25#
1 = Rarely/Never
Climbing Kneeling Pulling Pushing Stooping
I am expected to demonstrate the Four Key Basics - - Safety, Courtesy, Professionalism, and Efficiency - - in every aspect of the position.
I acknowledge that I have read and understand the above job description in its entirety and
am capable of performing all of the stated requirements.
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