Patient Access Specialist
7 days ago
We are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at Trinity Health. As a Patient Access Specialist, you will play a critical role in ensuring the smooth and efficient registration process for patients, while also maintaining accurate and up-to-date patient information.
Key Responsibilities- Collect and verify patient demographic and financial information for accurate registration and billing purposes
- Register and check-in patients, determining preliminary patient and insurance liability
- Perform routine account analysis and problem-solving to resolve patient account issues
- Initiate billing and rebilling of accounts as necessary
- Under limited supervision, determine need for and obtain authorization for treatment/procedures and assignment of benefits required
- Provide information to patients concerning regulatory requirements and estimated costs and patient responsibility
- Obtain, verify, and enter patient identification, demographic information, and insurance coverage into hospital information systems to ensure accurate and timely submission of claims
- Determine visit-specific co-payments and collect out-of-pocket liabilities
- Assist patients with questions regarding financial liability or refer to appropriate resources
- Inform patients on cost of treatment, insurance benefits, resources for payment, and financial assistance
- Secure and document payment arrangements
- Audit authorizations for accuracy and determine if delay/deny policy needs to be invoked
- Utilize key reports and tools to facilitate obtaining accurate insurance information
- Educate patients/families on the use of registration kiosks or online systems
- Identify non-routine complex issues and escalate to Patient Access Lead for resolution
- Cross-train in various functions to assist in the timely delivery of department services
- Perform routine duties relating to patient placement, including responsibility for bed assignments, transfers, and providing functional guidance as necessary
- Utilize Scheduling Booking Reports, Stop/Go Reports, Schedules, to facilitate daily patient activity and flow in support of clinical departments
- Analyze completeness and accuracy of records on these reports proactively and take action as appropriate
- Analyze and problem-solve issues related to revenue cycle elements (charges, demographic information, guarantor information, insurance eligibility, coordination of benefits, authorization requirements) in response to patient inquiries and issues
- High school diploma or equivalent combination of education and experience
- Minimum of one year experience in a customer service role with financial responsibilities
- Experience in healthcare, insurance, or managed care industries highly preferred
- Experience performing medical claims processing, financial counseling, and clearance, or accounting also highly preferred
- Completion of certification and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the American Association of Healthcare Administrative Management (AAHAM) and/or Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM)
- Strong communication skills, both verbal and written
- Strong critical thinking, interpersonal, and problem-solving skills
- Strong data entry and organizational skills
- Able to work independently and have good time management skills
We are an equal opportunity employer and welcome applications from diverse candidates. Trinity Health is committed to diversity, equity, and inclusion in all that we do.
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