Patient Access Specialist
3 weeks ago
**Patient Access Specialist**
**DESCRIPTION OF POSITION**:
- The patient access specialist performs administrative duties including, but not limited to: referrals, maintain provider schedules, prior authorizations for procedures/tests/medications, schedule outside procedures/testing, and performs related processing duties for all patients being served by respective clinic. Duties are performed in the EMR system as appropriate. The patient access specialist is trained in performing a wide range of skilled administrative and clerical duties. Reports to the Manager.
**RESPONSIBILITIES AND DUTIES**:
- Knowledge of CPT coding and Medical Necessity of testing. Ensures criteria met prior to scheduling testing and/or procedures, including surgery.
- Greets each patient warmly and cheerfully.
- Knowledgeable about insurance processing and able to explain deductibles, co-insurance, co-payments, and how processing occurs.
- Handles incoming referrals.
- Answers phone with correct salutation. Takes messages when appropriate.
- Records all messages into electronic EMR.
- Verifies patient information, demographics and insurance coverage is correct. If changes are required, changes the information in the EMR.
- Updates and scans updated information and forms into appropriate EMR system.
- Scan and attach all paperwork received into EMR system and attach and send appropriately.
- Schedules all testing after obtaining precertification per physician checkout orders.
- Completes and sends medical records request per physician orders.
- Completes all referrals through the EMR following correct protocol.
- Verification of insurance should be performed when necessary.
- Performs other job duties as assigned.
**_The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description._**
**EDUCATION AND WORK EXPERIENCE**
- High school diploma or equivalent required.
- Knowledge and training in medical terminology, keyboarding, and computer skills preferred.
- Basic skills in Microsoft Office preferred.
- Previous experience preferred in the areas of scheduling.
- Computer literacy, required.
- Broad range of administrative and technical skills in the context of the healthcare environment.
- Impacts activities in other work areas on a frequent basis and contributes in multiple work areas.
- Make decisions based on departmental policy.
- Demonstrates critical thought process and can work independently.
- Provides feedback to assist with decision making process.
- Works well with others.
- Documents detailed information in patient chart.
- Requires listening skills to maintain cooperative associations.
**Physical Demands/Work Environment**
- Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.
- Must be able to respond quickly and effectively to emergency and non-emergent situations.
- May be required to assist in controlling disorderly conduct or combative patients.
- Must be able to exchange accurate information with patient, family, peers and medical personnel.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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