Patient Access Specialist at Riverview Health

Westfield, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Sep, 26

Salary

0.0

Posted On

26 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Registration, Insurance Precertification, HIPAA Compliance, EMTALA Compliance, Customer Service, Medical Billing, Patient Interviewing, Data Accuracy, Switchboard Operations, Up-front Collections

Industry

Hospitals and Health Care

Description

Job Responsibilities * Possess accuracy skills to ensures that all documents are properly signed and witnessed as required. Maintain and apply knowledge of current registration requirements. * Advise and coordinate patient account information with other department staff, clinical staff and or UR/Case management. Ability to work well under pressure and remain calm while maintaining positive patient and physician relations. * Recognize accounts that should be referred to management for assistance. Evaluate patient visits/registrations and make recommendations for corrections as needed. * Calls insurance companies for precertifications and authorizations. Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with hospital policy. * Complete inventory and order specific supplies for department and keep supplies in proper storage areas so supplies and equipment are readily accessible * Maintain compliance with EMTALA and HIPAA rules and regulations. The Specialist will interview the patient/guarantor to obtain complete demographic, clinical, billing, insurance, and financial information. * The Patient Access Specialist will be trained to work all areas of Patient Registration and Switchboard daily operations. Responsible to train other Patient Access Associates in all duties. * Must be able to perform other duties as assigned. * SPECIFIC MEASURABLE OBJECTIVES FOR PATIENT ACCESS SPECIALIST INCLUDE: Must maintain an annual appraisal score of 2.0 or greater. Consistently, be able to register 40 patients per 8-hour shift with the possibility of more than 40 if work load dictates. If working non-patient registrations during this 8-hour shift, consistently register around 60 per day. Each Specialist is expected to maintain a 3% or less weekly error rate. Education Requirements * Minimum: High School Diploma or equivalent. * Preferred: High School Diploma and Certified HealthCare Access Associate (CHAA) Certification or national recognized PFS Certification Experience Requirements * Minimum: Three (3) or more years of customer service or related experience. * Preferred: Three (3) or more years of experience in Patient Access Registration in an acute care hospital and/or physician office setting. License/Certification Requirements * Minimum: None

Responsibilities

The Patient Access Specialist manages patient registration, interviews guarantors for demographic and insurance information, and handles insurance authorizations. They are also responsible for maintaining compliance with HIPAA and EMTALA regulations while training other associates.