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Patient Access Specialist-Scheduling

2 months ago

Crosby, United States Cuyuna Regional Medical Center Full time
POSITION SUMMARY

  • Responsible for accurately scheduling, obtaining/verifying patient information, appropriate documentation, and serving as the
  • communication link between the patient, the provider and the other clinic departments or agencies involved in the patient's care.
POSITION QUALIFICATIONS
  • Education and Experience:
    • Prefer High School Diploma or equivalent. Prefer completion of Health Care Administrative Specialist or similar program or comparable experience in a health care facility. Successful completion of data entry and general clerical standards as administered by Cuyuna Regional Medical Center Human Resources Staff.
  • License/Certificates:
    • N/A
  • Special Skills and Aptitudes:
    • Effective Interpersonal relationships skills including good listening and communication skills.
    • Ability to handle confidential information discreetly and appropriately.
    • Ability to adapt resources to meet the needs of the situation.
    • Exercise good judgment, flexibility, creativity and insight to problem solving.
    • Adjust to stressful situations with confidence and good judgment.
    • General knowledge of insurance/insurance verification and/or medical necessity.
    • Basic knowledge of medical terminology.
    • Excellent customer service and telephone etiquette.
    • Ability to work independently.
    • Ability to multi-task.
    • High quality customer service.
ESSENTIAL RESPONSIBILITIES
  • Scheduling and Documentation
    • Accurately schedules patient appointments according to schedule guidelines and provider preferences including clinic day/hours, appointment types, allotted time slots, restrictions and orders.
    • Inform and instruct patients on procedure/appointment preparation.
    • Obtain and maintain accurate electronic medical record (EMR) including verification of demographic information, insurance information and any documentation entered.
    • Process physician orders as requested.
    • Timely monitor and address all work queues and tasks that need to be completed.
    • Provide clerical support for the department, providers and staff.
  • Communication/Customer Service
    • Answer all incoming phone calls in a timely, customer services friendly, and professional manner to assist callers with scheduling needs and is a liaison between the patient and the clinical staff.
    • Collaborate with all other departments and any outside entities to ensure accurate scheduling and continuation of care for the patient.
    • Participate as requires in continuous improvement activities to enhance the quality of patient care.
    • Collaborate with patients, providers, staff, and outside entities, and staff for referral, prior authorization, and coordination or care.
    • Greet and acknowledge patients, family members and all staff in a friendly and courteous manner.
  • Patient Registration/Insurance Verification/Cashier
    • Update patient information including demographics, insurance information, patient authorization and other paperwork per protocols.
    • Verify insurance coverage through proper portals and established procedures.
    • Communicate appropriately with providers and staff in supported departments.
    • Monitor no-shows/late cancellations and take action per set policies.
    • Collect co-pays and patient payments based on location.
    • Demonstrate accuracy in writing receipts, processing credit-card payments and balancing cash drawer/bag based on location.
    • Communicate with and direct patients to Financial Services to arrange for payment plans and to assist with billing questions.
    • Assist providers and nursing staff to make schedule adjustments and changes.
    • Process referral requests and monitors work queues.
    • Enter telephone encounters and complete assigned tasks in EMR.
    • Demonstrate "Standards of Excellence" when other duties are assigned.