Patient Access Specialist FT
Company: Saint Alphonsus
ID101_70000 Patient Registration
Expected Weekly Hours:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.
Greets patients / family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility / benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors. Expected to enhance the patient experience throughout all patient interactions, the majority of which will be face-to-face.
Job Description Details:
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
High school diploma or equivalent required. Associate's degree or 2 years of experience in lieu of degree preferred.
Data entry skills required (45-60 keystrokes per minutes).
Past work experience of at least 1 year within a healthcare provider and/or payer environment performing patient access and/or customer service activities, are highly desired but not required.
Certified Healthcare Access Associate (CHAA) credentials by the National Association of Healthcare Access Management (NAHAM) and/or Certified Patient Account Technician (CPAT) credentials by the American Association of Healthcare Administrative Management (AAHAM) preferred.
Working knowledge of medical terminology desirable. Basic computer skills are required.
Excellent communication (verbal and written) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers, including the ability to interpret customer requirements, recommend and take action to satisfy the customer's needs. Accuracy, attentiveness to detail and time management skills are required.
Must be comfortable operating in a collaborative, shared leadership environment.
Meets Health System's Guiding Behaviors and Caring Standards including interpersonal communication and professional conduct expectations.
Ensures patient safety by authenticating patient identity throughout all essential functions.
Meets or exceeds established customer service, productivity and quality standards in all essential functions.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Performs activities that relate to registration in a variety of settings/locations and for multiple patient types (Inpatient Admissions, Outpatient Observation and Bedded Outpatients, Diagnostic Outpatients, Ambulatory Surgery, Emergency Department Registrations, Series accounts, Lab Specimens, etc.), dissemination of patient information. Responsible for validating/obtaining and entering demographic, clinical, financial, and insurance information into the patient accounting system by interviewing the patient, family member and/or guarantor.
Assures all financial clearance activities have been completed and patient financial responsibilities are met. Completes the financial clearance activities prior to service on non-complex cases and refers patient to financial counseling or financial clearance as necessary for complex cases.
Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms primarily EDI transactions and payer web access (and in some cases by calling payers directly) and documenting information within the patient accounting system. Outcomes of the insurance eligibility/benefit verification activity will determine next steps (designation as a Self-Pay account, referral to financial counseling, or referral to Financial Clearance for complex cases etc.).
Informs patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of check-in. In the collection of funds, documents payments/actions in the patient accounting system and provides the patient with a payment receipt.
Validates medical necessity (LCD/NCD review) to ensure clinical and financial clearance. Contacts scheduling and/or ancillary department associates for clarification, on diagnosis and/or test(s)/procedure(s) as necessary.
Obtains signed physician orders for all tests and procedures from physicians/offices.
Prepares identification bracelets and patient ID labels/plates for Inpatients and selected Outpatients. Obtains/scans patient/guarantor signatures on required forms (ID cards, insurance cards, consent to treatment, assignment of benefits, release of information, waivers, ABNs, advance directives, etc.). May audit & record the patient's valuables, securing appropriate authorizations, if needed. Disseminates patient information, including patient guidebooks and other required documents.
Provides information, directions, transportation, and assistance to patients, family members and visitors, ensuring timely, customer-centric service delivery in an effective and efficient manner. Communicates with various ancillary departments to ensure smooth patient flow and high data integrity.
May serve as relief support, if the work schedule or work-load demands assistance to departmental personnel. Cross- training in various functions is expected to assist in the smooth delivery of departmental services.
May perform cross-functional duties, including but not limited, to patient placement. While performing reservation duties, the position is primarily responsible for making bed assignments and transfers, providing functional guidance as necessary and scheduling patients to be admitted.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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