Patient Access Specialist

2 weeks ago


Bruceton Mills, United States Mountain Laurel Medical Center Full time

**Summary**:
Has overall responsibility for day-to-day operations of patient access, including scheduling functions, while providing excellent customer service. These duties will be conducted in accordance with existing MLMC policies and procedures.

**Essential Duties and Responsibilities**:
A. Entering patient information into Practice Management system (PM), electronically verifying patients insurance and/or determining eligibility for sliding fee program and determine the amount of co-pay, and inputting insurance payer codes and information. Verifying existing patient’s demographics and insurance; updating information as necessary.

B. Responsible for making correct billing decisions by ensuring the correct demographics, and insurance coverage are entered on the patients account, and processed correctly.

C. Checking in patients; collecting co-pays and any fees due, updating MLMC forms as necessary, notifying clinical team of patient’s arrival through the Electronic Health Record.

D. Answering phones, routing calls appropriately, and taking messages and documenting in the Electronic Health Record.

E. Scheduling patients’ appointments for all providers, nurses, lab, by phone or in person utilizing MLMC appointment guidelines. Routing appointment requests to clinical triage, when necessary.

F. Checking out patients, scheduling follow-up appointments when appropriate.
- Verifying patient has received any paperwork before leaving: receipts, appointment reminders, and patient plans.
- Collection of co-pay and any fees due; while keeping record of payments received on patients account through Practice Management (PM). Daily posting of payment batch.
- Adding recall plans to patients when appropriate.

G. Responsible for managing individual cash drawer, keeping amount accurate according to the Financial Policy.

H. Interpreting and understanding of the patient’s financial transactions, responding to patient questions and inquiries; working in conjunction with Billing Specialists for any extensive patient inquiries. Maintain an understanding of the revenue cycle.

I. Provides excellent patient-centered customer service while being friendly and courteous to all employees and patients; can handle multiple tasks at once and has the ability to compassionately and empathetically care for patients.

J. Upholds the _Code of Ethics_ and mission of Mountain Laurel Medical Center by conducting professional activities with honesty, integrity, respect, fairness, and good faith in a manner that will reflect well upon the organization.

K. When instructed by supervisor, entering monthly provider schedules in computer, filing miscellaneous paperwork in patients’ medical records, assisting with explanation of insurance coverage to patients.

L. Participate in continued education to keep abreast of changes in insurance plans, coverage limitations, medical services and regulations associated with working in a health care center.

M. Miscellaneous duties: Sign for deliveries, attend weekly staff meetings, and other duties as assigned.

**Core Values Statement**Patient Focused

The patient comes first and is central to all decision making.

Respect

Treat all patients and staff the way you expect to be treated.

Accountability

Each employee owns their actions, and expects the same from all others

Teamwork

It is necessary to work together in a supportive manner to achieve common goals.

Continuous Improvement

Stay committed to the pursuit of excellence, always finding ways to adapt and improve.

Integrity

Always do the right thing.

**Qualifications**:
**Education and Experience**:
A high school diploma or GED is required. Three (3) years related experience and/or training or equivalent is necessary, preferably in a medical related setting. A combination of education and experience will be considered.

**Computer Literacy**:
Knowledge of basic computer software and the willingness and ability to learn electronic medical records software.

**Insurance Knowledge**:
Vast understanding of the different types of insurances and the knowledge and ability to distinguish the differences in coverage, charges and co-pays; essentially becoming an expert. Understanding and ability to interpret patient’s financial record and the impact on the revenue cycle.

**Work Record**:
A demonstrated work record showing good attendance, punctuality, dependability and the ability to work well with supervisors and coworkers as part of a team effort is essential. A medical office setting is an environment that requires the ability to relate to all types of people while always maintaining a professional demeanor.

**Language Skills**:
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals is essential. Ability to write routine reports and correspondence, and the ability to speak effectively to patients, co-workers and the public at large is paramount.

**Mathematical Skill



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