PRN Weekend Patient Access Specialist @ Paulding Hospital

Job Summary

The Patient Access PRN Specialist I position works on an "as needed" basis and typically less than 16 hours per week. This job is typically the first point of contact and must ensure a pleasant experience for patients and visitors.

Core Responsibilities and Essential Functions

• Interviews patients and/or their representatives to obtain complete and accurate demographic, financial and insurance information.
• Conducts intensive screening of all Medicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility, prior to registration.
• Obtains all necessary customer consents/attestations.
• Coordinates the collection of all estimated patient liabilities, including co-payments and unmet deductibles.
• Verifies insurance benefits and coverage for inpatients and outpatients.
• Responds to customer requests and answers questions regarding various service and account information.
• Uses computer to access and/or update customer records.
• Verifies and posts transactions.
• Follows established procedures for processing receipts, cash etc.
• Assists with general hospital information and directions to departments within and outside of the WHS facility.
• Establishes financial arrangements to reduce financial risk for WHS.
• Receives requests for reservations (patient scheduling) from physicians' offices and makes the necessary pre-admission arrangements.
• Enters all patient information into the registration system.
• Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by the patient's third party payer.
• Reads physicians' orders to determine the procedures requested and to instruct patients accordingly.
• Makes corrections and updates patient account information in computer.
• Documents thorough explanatory notes on patient accounts.
• Maintains confidentiality of patient information, in accordance with WHS policy and HIPPA regulations.
• Resolves error and applicable Claim, DNB, and Patient WorkQueues.
• Greets all guests with a positive and professional attitude.
• Answers incoming phone calls and follows through with requests made.
• Attempts to collect the estimated self-pay balance of all inpatient, outpatient and ER accounts.
• Completes financial evaluation forms to document guarantors' income, expenses, assets and liabilities.
• Identifies those patients without adequate insurance coverage and determines potential eligibility for financial assistance programs.
• Verifies insurance coverage and benefits.
• Identifies and resolves Payor Denials as indicated.

Required Minimum Education

High school diploma required; Associate's Degree preferred.

Required Minimum Experience

• Minimum 2 years of related experience, in a healthcare or institutional work setting required.
• Epic experience preferred.

Required Minimum Skills

• Computer/data entry experience.
• Ability to communicate with various members of the healthcare team.
• Effective communication skills (both written and verbal), attention to detail, self-directed and a positive attitude are essential.
• Working knowledge of patient registration systems and intermediate Microsoft Office Suite are preferred.