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Patient Access Specialist
2 months ago
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
Shift Differential and Weekend Pay
These are onsite positions. Candidates must be able to work in-person at St. Joseph Hospital in Nashua, NH. The following shift is available:
Part Time 11pm - 7am on Friday and Saturday
Shift Differentials for Overnight Shifts, and Weekend Pay
The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for fulfilling these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Job Responsibilities:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity/compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable. They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion. Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian and obtains necessary signatures and the witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in the insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into the system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening medical necessity using the Advance Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurately, and on time to meet audit standards and provides statistical data to Patient Access leadership.
Required Qualifications
High School Diploma/GED Required
CRCR Required within 6 months of hire (Company Paid)
Experience We Love:
1+ years of customer service experience
Job Type: Part-time
Benefits:
401(k)
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance
Schedule:
10 hour shift
Overnight shift
Weekends only
Application Question(s):
This position pays between $17.25 to $18.45 based on experience PLUS Shift Differentials for Overnight and Weekends. Are you open to this range?
Education:
High school or equivalent (Required)
Experience:
Customer Service: 1 year (Required)
Shift availability:
Overnight Shift (Required)
Work Location: In person
