Patient Access Specialist

The Patient Access Specialist is responsible for the capture of demographic and insurance information either by telephone or patient facing. Position is required to use eligibility application to invoke request to verify insurance eligibility, interpret response and capture appropriate health insurance information as it pertains to the service being rendered. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to have a financial discussion with patient regarding payment responsibility. Must be comfortable in the collection of financial responsibility from the patient based on eligibility response or estimate for services. Specialists must be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition, responsible for decedent management, assuring accurate completion of death certificate and timely coordination of release of body to Funeral Home.

Education:
? Associates Preferred

Licensure, Certification & Registration:
? CHAA (or acquired within 2 years of hire)

Experience:
? Strong computer skill
? 3 – 5 years experience
? Hospital or Physician office experience, preferred
? Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care

Skills, Knowledge & Abilities:
? Proven customer service skill with ability to exceed expectations
? Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
? Strong understanding of ADT system; encounter correction
? Ability to learn in classroom setting; utilizing resources
? Ability to remain composed under pressure
? Ability to review information and draw appropriate conclusion
? Good judgement and ability to be resourceful to problem solve; escalate issues as needed
? Team minded worth ethic
? Demonstrated ability interpret patient’s insurance benefits and apply the applicable contractual obligations
? Critical thinking ability regarding issues with financially securing payment
? Ability to discuss sensitive concepts with patients regarding financial obligations