Patient Access Specialist

1 month ago

Fort Collins, Colorado, United States Colorado State University Full time
Job Title: Patient Access Specialist

Join the team at Colorado State University's Health Network as a Patient Access Specialist As a key member of our team, you will provide exceptional customer service and administrative support to our patients and staff.

Job Summary:

The Patient Access Specialist is responsible for providing administrative support, customer service, and facilitating the flow of patients through our clinics. This role requires a high level of professionalism and confidentiality as the first point of contact for patients entering the Health Network.

Key Responsibilities:
  • Completes patient check-in through the EHR system and determines if all necessary forms have been completed
  • Verifies student eligibility through the university databases and identifies related fees prior to check-in
  • Gathers, identifies, and accurately inputs billing and health insurance information to ensure successful and timely billing of insurance claims
  • Verifies the health insurance is active and the patient has the appropriate student eligibility to utilize our facility
  • Determines whether an insurance is in- or out-of-network and communicates expected coverage to student
  • Determines if other insurance needs to be billed in the case of a motor vehicle accident, athletic referral, worker's compensation, or work-related physicals
  • Utilizes insurance portals and Availity (insurance clearinghouse) to verify insurance plans if EMR is down
  • Maintains a working knowledge of all insurance providers and their contracted status at the CSU Health Network
  • Notifies student of any need to pay additional fees or provide other community resources if student is unable to use the CSU Health Network
  • Assigns necessary electronic forms to patient's portal through PyraMed and ensures they have completed the necessary requirements prior to the appointment time; walks them through the process to ensure all steps are completed
  • Schedules appointments based on patient's request or by reviewing the patient's EHR for appropriate scheduling
  • Optimizes provider schedules and patient satisfaction with efficient scheduling
  • Screens patient based on chief complaint and schedules them with appropriate clinic/department
  • Ensures all forms are completed for each appointment type to satisfy legal and organization needs
  • Trains new staff and cross-trains
  • Other duties as assigned or delegated by lead or supervisor
Requirements:
  • High School Diploma (or GED)
  • Two years of clerical experience, which must have included experience providing customer service, administrative support, and application of medical/mental health terminology and processes
Preferred Qualifications:
  • Mental health front desk/administrative experience
  • Experience and ability in developing and maintaining exceptional rapport with and empathetic care of students at times of stress, pressure, and variable patient volume
  • Experience with HIPAA regulations and guidelines
  • Experience and efficient use with Microsoft Office suite
  • Knowledge and experience using electronic health record systems (for example, PyraMED)
  • Commitment to and experience working effectively with historically marginalized populations, cultures, and diverse communities
Work Environment:

The Patient Access Specialist will work in a fast-paced, dynamic environment with a team of dedicated professionals. The ideal candidate will be able to work effectively in a multidisciplinary healthcare delivery setting and prioritize tasks to meet deadlines.

What We Offer:
  • A competitive salary and benefits package
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A commitment to diversity, equity, and inclusion
How to Apply:

To apply for this exciting opportunity, please submit your application, including a cover letter and resume, to [insert contact information]. We look forward to hearing from you

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