Patient Access Resource Specialist

3 days ago

Tucson, Arizona, United States Tucson Medical Center Full time
Job Summary

We are seeking a highly skilled Patient Access Resource Specialist to join our team at Tucson Medical Center. As a key member of our access services team, you will play a critical role in ensuring the smooth flow of patients through our scheduling and registration processes.

Key Responsibilities
  • Coordinate daily operations for scheduling, pre-registration/verification, insurance benefits, and admissions.
  • Provide routine daily internal interface with unit/department management and staff, other access service areas, information systems, physicians, and physicians' office staff.
  • Provide external service to patients, physicians, software/hardware vendors, and third party payers.
  • Assist staff with problem solving, routine questions, and customer interaction to ensure positive results.
  • Maintain current knowledge of outpatient scheduling criteria/processes for each ancillary department to ensure correct procedures are scheduled by staff.
  • Oversee the process of notification to the Financial Counselors when intervention is indicated for potential uncompensated care.
  • Schedule procedures, participate in pre-registration and financial verifications, obtain insurance benefits, and complete admissions of patients when necessary to ensure the smooth flow of the unit.
  • Ensure the timely processing of all physician orders, pre-registration, verification of insurance eligibility, benefits, prior authorizations, and medical necessity screening is completed prior to services being rendered.
  • Interpret and explain to patients and their families' charges, services, and hospital policy regarding payment of bills in accordance with TMC HealthCare Credit and Collection policies.
  • Build and maintain communication alliances with support and related personnel in the IS department, ancillary departments, nursing units and other financial service personnel.
  • Evaluate, learn and assist in the implementation of new software programs/systems, and other related technologies.
  • Communicate information to the Supervisor and/or Manager as needed to ensure a smooth and seamless access process prevails in each registration area.
  • Exhibit excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff.
  • Adhere to and support team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
  • Adhere to TMCH organizational and department-specific safety and confidentiality policies and standards.
Requirements
  • High school diploma or General Education Degree (GED), or an equivalent combination of relevant education and experience.
  • Four (4) years of medical insurance, billing and/or scheduling experience; preferably has served as lead over other revenue cycle staff.
  • Certified Healthcare Access Associate (CHAA) certification or proficiency testing strongly preferred.

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