Patient Access Specialist at ST LUKES HOSPITAL

Chesterfield, Missouri, United States -

Full Time

Start Date

Immediate

Expiry Date

29 May, 26

Salary

0.0

Posted On

28 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Liaison, Patient Flow Operations, Charge Integrity, Accurate Registration, Demographics Entry, Insurance Verification, Consent Obtaining, Medical Necessity Guidelines, PHI Data Sharing, Financial Counseling, Provider Order Review, Teamwork, Cerner Imaging Functions, Keyboard Skills, Medical Terminology

Industry

Hospitals and Health Care

Description

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Acts a patient liaison upon arrival to initiate patient flow and operations necessary to comply with managed care contracts and CMS regulations. Conducts face to face interview with patient to achieve successful clinical outcome and maintain charge integrity in clinically driven revenue cycle. Processes patient accounts in accordance with the departmental and institutional policies and procedures. Responsible for accurate registration of patient demographics and insurance and assures the validity of incoming data, corrects information as needed, and processes the registration including explaining and obtaining the patients signature on the Consent for Admission/Treatment, Release of Information/Assignment of Benefits and Financial Responsibility, and completing Medicare Secondary Payer (MSP) questionnaire. Collects proper consent for Missouri Health Connection to share PHI data. Assess and interpret Medical Necessity guidelines with providers to prevent denials and to comply with CMS regulations to formally notify patient via the appropriate format of their rights and limitations. Documents actions taken, answers inquiries involving patient registrations and researches problems to assure payment. Scans documents to the patient’s medical record via Cerner Imaging Functions. Verifies insurance eligibility and benefits to notify patients of expected financial responsibility and collect at the time of service. Provides financial counseling concerning payment options with patients and financial assistance. Reviews provider orders for accuracy and completeness and follows up with physician offices as needed. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke’s mission and values. Education, Experience, & Licensing Requirements: Education: High School Diploma Required. Associate Degree preferred Experience: Computer literate, with keyboard skill of 35-40 words per minute. Knowledge of medical terminology; medical terminology certificate helpful. - One year or more of work experience in various areas of medical field, Healthcare scheduling preferred. - Knowledge of CPT and ICD-10 coding Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke’s family to be a part of making life better for our patients, their families, and one another.

Responsibilities

This role acts as a patient liaison upon arrival to initiate patient flow, conduct face-to-face interviews, and process accounts according to policy, ensuring accurate registration of demographics and insurance data. Responsibilities also include verifying eligibility, collecting expected financial responsibility, providing financial counseling, and ensuring compliance with managed care contracts and CMS regulations.