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Patient Access Specialist II
2 months ago
- OVERVIEW
- The Patient Access Specialist plays a crucial role in the revenue cycle management process, ensuring precise data collection, documentation, and retrieval through computerized systems. This position reports to the leadership team within the department.
- KEY RESPONSIBILITIES
- Conducts verification of insurance coverage for active policies, confirming benefits and authorization prerequisites.
- Identifies and rectifies discrepancies in patient registration.
- Communicates necessary authorization requirements to relevant personnel to guarantee proper service authorization.
- Collaborates effectively with various departments regarding patient access information.
- Executes pre-registration and insurance verification for services provided.
- Provides support at designated registration sites, including those outside the primary work area, based on operational demands.
- May perform duties of a Patient Account Technician I as required.
- Undertakes additional responsibilities as assigned.
- CERTIFICATIONS AND LICENSES
- No specific certifications required.
- EDUCATION AND EXPERIENCE REQUIREMENTS
- A minimum of a high school diploma or equivalent is required.
- Preferred experience includes three to five years in a related field.
- At least twelve months of experience in medical billing and follow-up within a hospital patient account department, physician office, or medical services organization is necessary.
- Familiarity with ICD-9/CPT coding, third-party payer insurance verification processes, and medical terminology is essential.
- Strong interpersonal skills are required to effectively gather and exchange information in both verbal and written formats, utilizing proper grammar, spelling, and punctuation.
- Proficiency in keyboarding skills is necessary.
- Ability to engage positively with the public is important.
- Willingness to travel to various work locations as needed.
- Security Clearance: Increased security clearance is required for specific roles, including FBI fingerprinting, criminal background checks, and Child Protective Services registry searches.
- WORK ENVIRONMENT
- Typical office setting with minimal exposure to excessive noise, dust, or extreme temperatures. Frequent exposure to communicable diseases and moderately challenging working conditions may occur due to certain patient care activities.
- PHYSICAL DEMANDS
- Refer to the physical requirements documentation for detailed information.
