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Sr Patient Access Specialist

2 months ago

Plano, United States Children's Health Full time

Sr Patient Access Specialist

Department: Patient Financial Services

Location: Children's Health- Plano

Shift: Full-time; Monday through Friday working from 8:30 am to 5:00 pm

Job Type: Remote; but there will be some occasional onsite attendance required

Why Children's Health?
At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:
Responsible for ensuring the appropriate levels of complex patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction

Responsibilities:
* Ensures the appropriateness of complex registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
* Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
* Acts as a liaison to resolve complex patient access and account issues, responds to questions on reimbursement and serves as a resource and systems expert for patient access specialists, including on-the-job training; assess DNB work queues for performance improvement and appropriateness of complex patient access transactions
* Provides guidance, feedback and training to staff on multiple processes, payers and systems; monitors work queue assignments and assess productivity
* Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values
* Prepares consolidated payer-specific registration and reimbursement data for presentation
* Possesses the ability to interpret and demonstrates compliance with performance standards, third party contracts, guidelines, regulations and policies and procedures; assists with maintaining specific procedural guidelines and policies
* Initiates and coordinates the implementation of team-oriented process improvement initiatives for the department and organization
* Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards
* Performs other duties as assigned

How You'll Be Successful:

Education:
* Associates Degree
* Bachelors Degree
* Vocational Certificate
* High School

Work Experience:

* At least 5 years customer service experience with three years of healthcare experience including Patient Access operations activities Required
* Extensive knowledge of general procedures and guidelines used by health insurance companies, government agencies, employer benefit departments and internal departments as they relate to registration Required
* Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and minimum of 40 words per minute Required
* Ability to develop and maintain productive working relationships to fully integrate within a team Required
* Proficient in English, written and verbal, communication skills Required

Education
* High school diploma or equivalent Required
* Two-year Associate's degree or equivalent experience Required

Licenses and Certifications
* National Association of Healthcare Access Management CHAA Certification Preferred
* Epic Proficiency or Certification with ADT/Prelude Preferred

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits - How We'll Care for You:
•Employee portion of medical plan premiums are covered after 3 years.
•4%-10% employee savings plan match based on tenure
•Paid Parental Leave (up to 12 weeks)
•Caregiver Leave
•Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.