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Revenue Cycle Access Specialist
2 months ago
We are seeking a highly skilled and detail-oriented Revenue Cycle Access Specialist to join our team at University Hospitals. As a key member of our Revenue Cycle team, you will play a critical role in ensuring the accurate and timely registration, patient estimates, and point of service collections.
Key Responsibilities- Interviews and Registers Patients: Conduct thorough interviews with patients to gather demographic and insurance information, and accurately register patients in our system.
- Verifies Insurance Benefits: Utilize electronic eligibility tools, phone calls, and web portals to verify patients' insurance benefits and coverage.
- Executes Patient Estimates: Educate patients on charges and out-of-pocket liability, and establish payment plans as needed.
- Collects and Posts Payments: Successfully collect and post co-pays, deductibles, co-insurance, and prior balances due from patients.
- Prevents Medical Record Duplications: Take steps to prevent medical record duplications or incorrect patient selection, ensuring patient safety and safeguarding Protected Health Information (PHI).
- Communicates with Physicians and Clinical Providers: Contact physicians or clinical providers to validate or clarify information on orders, schedules, or other requirements.
- Utilizes Electronic Reports and Worklists: Identify claims requiring updating and make corrections as needed to ensure accurate and timely billing.
- Schedules Patient Appointments: Utilize multiple software applications to schedule professional and technical patient appointments.
- Completes Daily Reconciliation: Complete daily reconciliation of the Important Medicare Message (IMM) and Medicare Secondary Payer Questionnaire (MSPQ) in accordance with Government regulations.
- Maintains Patient and Physician Confidentiality: Follow department policy and procedures, and maintain patient and physician confidentiality at all times.
- Education: High School Equivalent or GED
- Work Experience: 1+ years of healthcare or customer service experience
- Knowledge, Skills, and Abilities: Proficiency in utilizing multiple complex software solutions, dependable work ethic, notable client service and communication skills, ability to work in a fast-paced environment, and strong written and verbal communication skills.
- Standing: Occasionally
- Walking: Occasionally
- Sitting: Constantly
- Lifting: Rarely 20 lbs
- Carrying: Rarely 20 lbs
- Pulling: Rarely 20 lbs
- Climbing: Rarely 20 lbs
- Balancing: Rarely
- Stooping: Rarely
- Kneeling: Rarely
- Crouching: Rarely
- Crawling: Rarely
- Reaching: Rarely
- Handling: Occasionally
- Grasping: Occasionally
- Feeling: Rarely
- Talking: Constantly
- Hearing: Constantly
- Repetitive Motions: Frequently
- Eye/Hand/Foot Coordination: Frequently
- Travel Percentage: 10%
