Patient Access Specialist
1 week ago
Under general supervision, the PAS Referral Specialist will utilize tools designed to facilitate the referral process and schedule appointments for multiple specialties for Springfield Clinic patients. Working primarily in an office setting, the PAS Referral Specialist will partner with the Springfield Clinic clinical teams to provide a resource for timely referrals that will increase clinical and operational processes which will positively impact patient safety and quality. The PAS Referral Specialist will ensure timely arrangement of appointments at specialty clinics, ensure primary care provider preferences are met, when possible, ensure payer requirements for referrals are met, complete necessary payer prior authorizations, and communicate appointment details to patients, primary care providers, and specialty offices. The PAS Referral Specialist follows all applicable regulations, policies, and guidelines to ensure compliant and appropriate management of patient referrals to specialty care.
Job Relationships
Reports to the Operations Manager
Principal Responsibilities.
- Responsible for working referrals based on various specialty procedures.
- Interacts with patients in a professional manner displaying courtesy and the ability to inform patient on procedure they will be receiving.
- Responsible for obtaining necessary referrals for patients in need of ancillary or specialty services. Maintains documentation accordingly and provides authorization codes and numbers to patients. Works directly with patients regarding the requirements and limitations of their health plan.
- Accountable for improving provider efficiency and effectiveness by performing referral process; allowing the care teams to spend more time with patient care.
- Displays ability to understand insurance coverage and how to obtain pre-authorization for procedures.
- Faxes copies of medical records to insurance companies, managed care companies and physicians' offices to ensure that the patient's referral will be a covered service, and that the recipient physician is prepared for the visit.
- Maintains key contacts at insurance care companies, documenting all interactions, helping to facilitate referral process.
- Acts as a primary contact when change is forthcoming with insurance coverages.
- Functions under the direction of the Supervisor, Referral Management and referring Providers
- Must operate effectively with various levels of leadership and clinical expertise, while assisting with accomplishing department goals and objectives.
- Assists team members with completion of duties in a timely and accurate manner while being able to function independently with assigned duties.
- Maintains accurate and timely documentation and follows up when applicable.
- Interacts with co-workers, visitors, physicians and other healthcare personnel in a manner that enhances service delivery and promotes positive relationships.
- Adheres to all HIPAA guidelines and patient confidentiality policies. Applies the minimum necessary standard when accessing protected health information.
- Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- Perform other job duties as assigned.
Education/Experience
- High School graduate or GED preferred.
- Comfortable with technology.
- Preferred: Administrative or technical background acquired through completion of 2-3 years of college.
- Preferred: Minimum one (1) year medical office experience
Knowledge, Skills and Abilities
- Previous clerical and EHR documentation experience preferred-specifically Allscripts and/or Athena.
- Strong knowledge of local physician networks and their associated specialties, including Springfield Clinic, MPS, SIU, OCI, Prairie and others.
- Strong general computer skills in Microsoft Office; especially Microsoft Excel spreadsheets, databases, and reporting tools strongly preferred.
- Working knowledge of insurance requirements and coverage.
- Understanding of insurance prior authorization processes and insurance referrals.
- Possesses strong medical terminology.
- Demonstrates understanding of evidence-based healthcare.
- Demonstrates ability to work in a fast changing and ambiguous environment.
- Engaging service-oriented skills required.
- Excellent organizational skills required. Demonstrates ability to be flexible and function in stressful situations.
- Excellent oral, written communications and interpersonal skills required.
- Demonstrates initiative, self-direction, and motivation.
- Demonstrates open/global communication skills with multiple requesters.
- Ability to work with multiple care providers and maintain positive working relationships.
Working Environment
- Office type environment requiring frequent fluctuations between sitting and standing.
PHI/Privacy Level
HIPAA1
-
Patient Access Specialist I
1 week ago
Springfield, United States Memorial Health System Full time5:00 am-1:30 pm. Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party informa Patient Access, Specialist, Patient, Registration, Healthcare, Billing
-
Patient Access Specialist I
3 weeks ago
Springfield, United States Memorial Health System Full timeAssists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and perfor Patient Access, Specialist, Patient, Registration, Healthcare, Billing
-
Patient Access Telecommunications Specialist
3 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Patient Access Specialist - Telecom is a vital role within the Springfield Clinic team, responsible for ensuring seamless patient access services. This position requires exceptional communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAnswer incoming calls with...
-
Patient Access Specialist I
2 weeks ago
Springfield, Illinois, United States Memorial Health Full timeJob SummaryWe are seeking a highly skilled Patient Access Specialist I to join our team at Memorial Health. As a key member of our Patient Access Services team, you will play a critical role in ensuring seamless patient access to our services.Key ResponsibilitiesVerify patient identity and demographic information through appropriate tools and...
-
Patient Access Coordinator
1 week ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryWe are seeking a highly organized and detail-oriented Patient Access Specialist to join our team at Springfield Clinic. As a Patient Access Specialist, you will play a critical role in ensuring the smooth referral process for our patients, working closely with our clinical teams to provide timely and efficient access to specialty care.Key...
-
Patient Access Telecommunications Specialist
3 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Patient Access Specialist - Telecom is a vital role within the Springfield Clinic team, responsible for ensuring seamless patient access services. This position requires exceptional communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAnswer incoming calls with...
-
Patient Access Specialist
3 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Patient Access Specialist - Telecom is a critical role at Springfield Clinic, responsible for facilitating patient access services by managing incoming calls, assisting clinic customers, and streamlining clinic-wide communications.Key ResponsibilitiesAnswer all incoming telephone calls to the clinic, identify the caller's needs, and route the...
-
Patient Access Coordinator
3 weeks ago
Springfield, Illinois, United States Memorial Health System Full timeJob SummaryWe are seeking a skilled Patient Access Specialist I to join our team at Memorial Health System. As a key member of our healthcare team, you will play a vital role in ensuring seamless access to our services.Key ResponsibilitiesProcess patient registration information with high accuracy and efficiency.Obtain and verify patient demographic and...
-
Telecommunications Patient Access Specialist
4 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Patient Access Specialist - Telecom is a key member of the Springfield Clinic team, responsible for facilitating patient access services by managing incoming calls, assisting clinic customers at first point of contact, and streamlining clinic-wide communications.Key ResponsibilitiesAnswer all incoming telephone calls to the clinic, identify...
-
Patient Access Coordinator
6 days ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryUnder general supervision, the Patient Access Specialist will utilize tools designed to facilitate the referral process and schedule appointments for multiple specialties for Springfield Clinic patients. Working primarily in an office setting, the Patient Access Specialist will partner with the Springfield Clinic clinical teams to provide a...
-
Patient Access Coordinator
3 weeks ago
Springfield, Illinois, United States Memorial Health Full timeJob SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Memorial Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to medical services.Key ResponsibilitiesVerify patient demographic information and obtain necessary consent for treatmentProcess...
-
Patient Access Coordinator
2 weeks ago
Springfield, Illinois, United States Memorial Health System Full timeJob SummaryWe are seeking a highly organized and detail-oriented Patient Access Specialist I to join our team at Memorial Health System.The successful candidate will be responsible for providing exceptional patient access services, ensuring accurate and timely registration of patient information, and maintaining the highest level of confidentiality and...
-
Patient Access Coordinator
2 weeks ago
Springfield, Illinois, United States Memorial Health Full timeJob SummaryWe are seeking a highly skilled Patient Access Specialist I to join our team at Memorial Health. As a key member of our Patient Access Services team, you will play a critical role in ensuring seamless patient access to our services.Key ResponsibilitiesVerify patient demographic information and obtain necessary consents for treatmentProcess...
-
Patient Access Account Specialist
1 week ago
Springfield, United States Trinity Health Full timeEmployment Type: Full timeShift: Day Shift Description: Come join the Patient Access team at Mercy Medical Center, part of Trinity Health Of New England! Please read Schedule and Training requirements under Position Highlights below! Position Purpose The Patient Access Accounts Specialist is a highly skilled, detail-oriented colleague that is an integral...
-
Patient Access Coordinator
2 weeks ago
Springfield, Illinois, United States Memorial Health Full timeJob SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Memorial Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to medical services.Key ResponsibilitiesVerify patient demographic information and obtain necessary consent for treatmentProcess...
-
Patient Access Coordinator
3 weeks ago
Springfield, Illinois, United States Memorial Health Full timeJob SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Memorial Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to medical services.Key ResponsibilitiesVerify patient demographic information and obtain necessary consent for treatmentProcess...
-
Patient Access Coordinator
3 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Patient Access Specialist - Telecom is a vital role within the Springfield Clinic team, responsible for ensuring seamless communication and access to patient services. This position requires a high level of accuracy, attention to detail, and excellent customer service skills.Key ResponsibilitiesManage incoming calls and route them to the...
-
Patient Access Coordinator
3 weeks ago
Springfield, Illinois, United States Springfield Clinic Full timeJob SummaryThe Patient Access Specialist - Telecom is a vital role within the Springfield Clinic team, responsible for ensuring seamless communication and access to patient services. This position requires a high level of accuracy, attention to detail, and excellent communication skills.Key ResponsibilitiesManage incoming calls and route them to the...
-
Patient Access Specialist- Telecom
3 weeks ago
Springfield, United States Springfield Clinic Full timeJob DescriptionThe Patient Access Specialist - Telecom is responsible for facilitating patient access services by managing incoming calls, assisting clinic customers at first point of contact and streamlining clinic-wide communications. Requires 24 hours in a 4 week pay period, at least 16 of that being weekend hours and up to 6 hours of holiday hours.Job...
-
Patient Access Coordinator
2 weeks ago
Springfield, Illinois, United States Memorial Health Full timeJob SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Memorial Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to our services.Key ResponsibilitiesVerify patient identity and demographic information through appropriate toolsIdentify and...
