Patient Access Specialist

3 weeks ago

Selma, United States GetixHealth Full time
This role assists patients with insurance verification and clinical services scheduling. Also included: helping patients meet the necessary pre-registration requirements including obtaining complete and accurate patient demographics, benefits eligibility, pre-certification approvals from insurance companies and physician offices.

Compensation: $15 - $16/hr and position is quarterly bonus eligible.

Essential Duties & Responsibilities

  • Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties.
  • Document pertinent patient information and all account work activity in the appropriate systems dictated by the health care facility and Company.
  • Capture and document all pertinent patient demographic, subscriber, and insurance information (i.e.): patient Policy and ID numbers, subscriber, guarantor, payer address, phone numbers, and other contact information. Documentation must include, benefit effective date, copay, deductible, out of pocket non-covered services responsibilities, co-insurance, stop loss amounts, percentage of coverage and any other pertinent information concerning the specific procedure/clinical service to be performed.
  • Secure authorizations and documenting all pertinent information (i.e.): Insurance, Ordering information, Physician information, Tax ID, CPT, HCPCS and ICD 10 codes. Documentation must include, authorization status, authorization number, ordering procedures, verified from, dates approved for and any other pertinent information.
  • Meet all patient registration goals in a timely manner to ensure time sensitive requirements are obtained.
  • Working knowledge of Protected Health Information (PHI), HIPPA.
  • Be personally responsible, respect for self and others, innovative through teamwork, dedication to caring and excellence in customer service.
  • Successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information.
  • Accurately obtaining and entering proper procedure or diagnosis codes into scheduling system.
  • Obtain and accurately complete ABN or MSP forms, when applicable.
  • Obtain complete and accurate insurance information and complete insurance verification by contacting patients, physician offices and insurance/payer regarding the visit.
  • Works according to standard operating procedure during ADT/system downtimes.
  • Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments.
  • Assists patients, as needed, to ensure compliance with the payer’s requirements for reimbursement.
  • Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual’s financial condition according to charity policy.
  • Responsible for communicating with patients regarding patient financial responsibilities before or at time of service. Informs patients on billing process for facility and providers.
  • Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.
  • Perform other duties as assigned by management.
Education:
  • High School Diploma or General Education Development (GED) certificate or equivalent in relevant work experience desired.
  • Associate or Bachelor’s degree in Business, Financial/HealthCare related field preferred.
Experience:
  • 1 year experience in Patient Access, Patient Financial Services, or previous experience in a hospital or physician’s office required. 2-3 years related experience preferred.
Knowledge, Skills, Abilities & Other Characteristics:
  • Excellent written and oral communication skills required
  • Must be able to multitask, coordinating more than one event at a time.
  • Must be able to type 35+ wpm.
  • Must be able to demonstrate knowledge of hospital billing requirements and the documentation necessary to satisfy those requirements.
  • Experience/knowledge of: medical terminology, data entry, computer skills, admitting, business office, cash collections, physician office interactions and working with public preferred.
  • Customer Service/Patient Relations – displaying professionalism.
  • Working knowledge of Protected Health Information (PHI), HIPPA.
  • Must possess detailed understanding and knowledge of insurance guidelines and protocols, components of full verification, and payer information / requirements.
  • Exhibits competency in the use of all registration systems, electronic verification tools, and Web Based resources.
  • Maintains basic understanding of the medical necessity screening process and appropriate systems.
  • Bilingual preferred.
  • Ability to work in a team fostered environment.
  • Ability to prioritize and organize work.
  • Ability to adapt to a flexible schedule.


About GetixHealth

GetixHealth supports healthcare providers across the United States with professional, streamlined revenue cycle management (RCM) services.

We focus on healthcare’s revenue cycle using industry best practices to increase our clients' profitability and success. Our team completes RCM services, reports on performance and productivity, provides detailed analytics and data to deliver quality results.

Our management team has an average of 18 years of experience. We have offices across the globe with some 1,800 employees and the technologies to work in the most extreme circumstances.

GetixHealth’s track record for patient satisfaction, loyalty and endorsement consistently reports scores of over 99% for the past five years. Our superior approach is supported by our extensive and effective quality patient care, compliance mindset, and technologically advanced services.

GetixHealth’s Service Solutions enable healthcare facilities and providers to be successful. We focus on delivering stress-free revenue cycle services, so our clients can focus on what matters most - delivering exceptional healthcare.

We customize our service solutions to the needs of our clients. Although some clients ask us to manage their complete revenue cycle, we are most often asked to perform key services within their revenue cycle. More specifically: Patient Access; Physician Credentialing; Denials, DRG Downgrades; Medical Billing & Coding; Chart and Coding Audits; Eligibility & Enrollment; Documentation Education: Workers' Comp, MVA, TPL services; Self-Pay, Early Out; Bad Debt Collections.

GetixHealth is an equal employment opportunity and e-verify employer.

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