Patient Access Specialist I Weekends

2 weeks ago

Elyria, United States University Hospitals Full time
Weekends Only

A Brief Overview

As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer satisfaction and decreases bad debt. Access Specialists are skilled in patient/physician relations, registration, scheduling and use of multiple, complex systems

What You Will Do
  • Interviews patients (face-to-face/phone/via document) and utilizes multiple complex applications to create (or validate existing) patient medical record and insurance/bill claim using demographic and insurance information.
  • Mastery of skills relating to insurance coverage, benefits, rules & regulations and allocation of plans accurate information and fulfillment of requirements resulting in expected payment for services
  • Verifies and allocates insurance plans utilizing electronic eligibility tools, phone calls payer, accesses web portals and initiates appropriate action for services including non-covered and out-of-network insurance services
  • Executes patient estimate, educates guarantor regarding charges and out-of-pocket liability and establishes payment plan when applicable for professional and technical services.
  • Successfully calculates, collects and posts co-pays, deductible, co-insurance and prior balance due from patient in accordance with policy; meets or exceeds collection targets and productivity standards. Takes appropriate steps to balance and secure cash in accordance with UH policy.
  • Takes steps to prevent medical record duplications or incorrect patient selection imperative to patient safety; safeguards Protected Health Information (PHI).
  • Contacts physician or other clinical provider to validate / clarify information on orders, schedules, or other requirements such as patient instructions.
  • Utilizes electronic reports, worklists, and queues to identify claims requiring updating; makes corrections as needed to ensure accurate and timely billing.
  • Schedules professional and technical patient appointments using multiple software applications.
  • Verifies insurance benefits/coverage using electronic eligibility tool / phone call; initiates appropriate action to complete a Notice of Admission (NOA).
  • Completes daily reconciliation of the Important Medicare Message (IMM) and Medicare Secondary Payer Questionnaire (MSPQ) in accordance to Government regulations.
  • Completes daily status changes and revisions in conjunction with the Utilization Management Team.
  • Scans and retrieves appropriate related documents in scanning applications
  • Projects positive image to all UH patients, physicians, and customers (internal and external) as the first impression of University Hospitals.
  • Communicates using prescribed customer service focused greeting and scripting to achieve branded UH patient experience.
  • Follows department policy and procedures, attends and participates in corporate and local team meetings and maintains patient / physician confidentiality.
  • Maintains emergency disaster preparedness knowledge/skills.
  • Effectively communicates utilizing telephone, emails, or correspondence for internal and external customers.
  • Maintains emergency preparedness knowledge/skills needed to participate in drills / disaster exercises and real time safety events.
  • Participates in wayfinding; provides directions or transport as needed to ensure positive patient / customer experience.
  • Performs other related duties as assigned and participates in enterprise special projects as needed.
Additional Responsibilities
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Qualifications:
Education
  • High School Equivalent / GED (Required)
Work Experience
  • 1+ years of healthcare or customer service experience (Required)
  • College associate or bachelor's degree is equivalent to 1 year of work experience. ()
Knowledge, Skills, & Abilities
  • Experience utilizing multiple complex software solutions (Required proficiency)
  • Dependable to work in this 24/7/365 department with willingness to travel to other sites and locations throughout the enterprise including possible overtime. (Required proficiency)
  • Notable client service, communication and relationship building skills. (Required proficiency)
  • Must have ability to perform in a fast-pace and stressful environment (such as the Emergency Department). (Required proficiency)
  • Demonstrates ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
  • Must have strong written and verbal communication skills. (Required proficiency)
  • Professional demeanor (Required proficiency)
  • Detail-oriented and organized, with good analytical and problem solving ability (Required proficiency)
  • Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, multi-line phone, FAX machine, etc.) (Required proficiency)
Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely 20 lbs
  • Carrying Rarely 20 lbs
  • Pushing Rarely 20 lbs
  • Pulling Rarely 20 lbs
  • Climbing Rarely 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently
Travel Requirements
  • 10%

  • Revenue Cycle Access Specialist I

    2 weeks ago

    Elyria, United States University Hospitals Full time

    A Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer...

  • Patient Service Specialist

    1 day ago

    Elyria, United States Cleveland Clinic Full time

    Join Cleveland Clinic's Elyria Family Health Center and become a part of one of the most respected healthcare organizations in the world.This patient-friendly facility offers primary care and a wide array of specialties providing patients with the world-class care Cleveland Clinic is known for.Here, you will work alongside passionate and dedicated...

  • Patient Service Specialist

    3 weeks ago

    Elyria, United States Cleveland Clinic Full time

    Part time PSSMonday Wednesday, Friday8:00 am - 4:30 pmJoin the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and...

  • Patient Service Specialist

    4 weeks ago

    Elyria, United States Cleveland Clinic Full time

    Join Cleveland Clinic's Elyria Family Health Center and become a part of one of the most respected healthcare organizations in the world. This patient-friendly facility offers primary care and a wide array of specialties providing patients with the world-class care Cleveland Clinic is known for. Here, you will work alongside passionate and dedicated...

  • Customer Service Product Specialist

    1 month ago

    Elyria, United States Sunnyside Auto Group Full time

    Our fantastic new Customer Service/Product Specialist position is an exciting opportunity offering all of the thrills of the retail automotive industry without the long hours and the uncertainty of commissioned Sales. We are actively seeking professional and energetic individuals looking to move their career in a positive direction. THIS IS NOT A SALES...

  • Manufacturing Lean/Continuous Improvement Specialist

    20 hours ago

    Elyria, United States Orbia Advance Corporation Full time

    Join Dura-Line, an Orbia business, in leading the charge for global connectivity! As the premier manufacturer of plastic conduit pipes, we create pathways that connect people and information worldwide in various markets. Every part of the manufacturing process is monitored with environmentally friendly sustainable efforts in mind. Quality, sustainability,...

  • Manufacturing Lean/Continuous Improvement Specialist

    6 days ago

    Elyria, United States Orbia Full time

    Join Dura-Line, an Orbia business, in leading the charge for global connectivity! As the premier manufacturer of plastic conduit pipes, we create pathways that connect people and information worldwide in various markets. Every part of the manufacturing process is monitored with environmentally friendly sustainable efforts in mind. Quality, sustainability,...

  • Patient Care Nurse Assistant.

    1 week ago

    Elyria, United States University Hospitals Full time

    Sign on bonus- night shift, with one year applicable experiencePossible units available: Emergency Department, 6 Smythe (Ortho/Med/Surg), 8 Smythe (Cardiac/Tele) 9 Smythe (Observation/Cardiac Tele)10 Smythe (Med/Surg) , 11 Smythe (Med/Surg), Clinical Float Pool, In patient Psych, Outpatient SurgeryDay and Night shifts availableThe Patient Care Nursing...

  • Delivery Specialist Non-CDL

    1 month ago

    Elyria, United States Carter Lumber Full time

    Job DescriptionJob DescriptionIf you are a hard-working individual who enjoys the customer service and energy of being a delivery driver, Carter Lumber should be your career destination! Our customers have many options when buying building materials. They come to us because of our reliability and our customer service. When you join us, you’ll have the...

  • Bulk Account Merchandiser Specialist

    1 month ago

    Elyria, United States Coca-Cola Consolidated Full time

    Requisition ID: 190946  Posting Locations: Elyria  Pay Range: $ - $, depending on experience Rate Frequency: Daily  Our Secret Ingredient is our Teammates. We offer great rewards , competitive pay , career advancement and growth opportunities . Full Time Teammates are also eligible for: Paid Training Paid Time Off plus paid...

  • Patient Care Nurse Assistant.

    6 days ago

    Elyria, United States University Hospitals Full time

    DescriptionSign on bonus- night shift, with one year applicable experiencePossible units available: Emergency Department, 6 Smythe (Ortho/Med/Surg), 8 Smythe (Cardiac/Tele) 9 Smythe (Observation/Cardiac Tele)10 Smythe (Med/Surg) , 11 Smythe (Med/Surg), Clinical Float Pool, In patient Psych, Outpatient SurgeryDay and Night shifts availableThe Patient Care...

  • Paramedic I

    3 weeks ago

    Elyria, United States University Hospitals Health System Full time

    Description A Brief Overview Assist patients and health care needs as directed by clinician during Emergency Department visit including performing 12 lead EKGs, blood draws, initiate Hep-locks, bedside point of care testing, aerosol treatments. Ensures the daily completion of point of care testing quality controls, defibrillator checks, refrigerator checks,...

  • Patient Care Technician

    1 month ago

    Elyria, United States Fresenius Medical Care Full time

    PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a...

  • Patient Care Technician

    1 month ago

    Elyria, United States Fresenius Medical Care North America Full time

    **POSITION FEATURES:** $3,500 Sign On Bonus for Dialysis Experience (OCDT) Dialysis Training is Provided for candidates without a dialysis background! **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy...

  • Guest Sales Specialist

    1 month ago

    Elyria, United States Monro Muffler Brake Full time

    Monro Inc. is a leader in the automotive maintenance and repair services industry. We are the country’s top company-owned automotive repair chain, and our success is driven by employing great people who commit every day to putting our guests first--selling them only what they need and making sure the work performed on their cars is done right the first...

  • Guest Sales Specialist

    1 month ago

    Elyria, United States Monro, Inc. Full time

    Company Description Monro Inc. is a leader in the automotive maintenance and repair services industry. We are the country's top company-owned automotive repair chain, and our success is driven by employing great people who commit every day to putting our guests first--selling them only what they need and making sure the work performed on their cars is done...

  • APRN/PA I

    2 weeks ago

    Elyria, United States Cleveland Clinic Full time

    Chestnut Commons Family Medicine is expanding with their advanced-practice provider coverage, and looking for compassionate, hard-working individuals to join our large group of advanced-practice providers. Applicants will be joining a fast-paced program and will be responsible for ambulatory care for all age-range patients. The family medicine department is...

  • MRI Technologist I PRN

    1 month ago

    Elyria, United States Cleveland Clinic Full time

    Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of...

  • Behavior Specialist

    3 weeks ago

    Elyria, Ohio, United States ChanceLight Behavioral Health, Therapy, & Education Full time

    ChanceLight Behavioral Health, Therapy, & Education, a growing, dynamic organization with a social mission to offer hope, is seekingBehavior Specialiststo join our award-winning team and perform meaningful work in a culture that welcomes innovation, encourages creative expression and offers limitless potential for personal and professional satisfactionIf you...

  • Supplier Development Specialist

    3 weeks ago

    Elyria, United States Parker Hannifin Corporation Parker Aerospace Group Full time

    Supplier Development Specialist (Aerospace) Location: ELYRIA, OH, United States Job Family : Procurement Job Type : Regular Posted : May 8, 2024 Job ID: 45464 Back to Search Results Job Description Apply Now > Save Job ...