Patient Access Liaison
1 week ago
At Yale New Haven Health, we are committed to a vision that prioritizes integrity, patient-centered care, respect, accountability, and compassion. Every member of our team embodies these values in their daily work.
The Patient Financial Access Specialist plays a crucial role in managing the functions and responsibilities associated with patient financial access. This position involves providing assistance with intricate scheduling across multiple outpatient service areas. Through effective communication and the adept use of technology, the specialist performs a variety of tasks, including accurate patient identification while adhering to safety protocols.
Key responsibilities include obtaining and updating patient demographic and financial information across various computer systems to ensure efficient processing of visits. Acting as a liaison between patients and physicians, the specialist manages appointment and procedure scheduling for both internal and external patient visits. This role requires close collaboration with patients, physicians, and nursing professionals within the clinic environment, ensuring accurate management of complex procedures, physician appointments, and multifaceted services.
The specialist communicates directly with patients and/or physician offices to confirm that all necessary instructions, preparations, or laboratory test requirements are met prior to appointments or procedures. Additionally, the role involves coordinating multiple patient appointments and managing insurance demographics to facilitate appropriate reimbursement for services rendered. The individual will also make informed decisions regarding exams ordered in relation to medical necessity and follow up with patients or physicians when a waiver or ABN is necessary.
A strong focus on detail, specificity, and accuracy is essential, particularly concerning procedures, appointments, and supporting documentation, all while demonstrating exceptional patient sensitivity and compassion. The position demands a commitment to service excellence, representing the organization positively at all times.
Responsibilities
1. Patient Throughput: Ensure all necessary information from referring physicians is provided to third-party payers for reimbursement of outpatient services. 2. Insurance: Exhibit a solid understanding of various insurance options and accurately complete insurance entries to satisfy billing requirements. 3. Complex Appointment Scheduling: Coordinate and support tasks related to patient appointment scheduling. 4. Resource Management/Quality Assurance: Collaborate with supervisors to provide support across outpatient service departments and maintain skillsets. 5. Customer Service: Uphold service excellence standards to guarantee a positive patient experience. 6. Template Management: Work with clinical staff to maintain scheduling templates within the system. 7. Additional Duties: Review and update training materials and provide training to other staff members as needed.
Qualifications
EDUCATION: High school diploma or GED required; associate degree preferred.
EXPERIENCE: Two to three years of experience in a customer service environment, preferably in a hospital or physician office setting, with a focus on registration, scheduling, and medical insurance.
SPECIAL SKILLS: Self-directed, organized, and team-oriented with a strong ability to educate and advocate for patients. Must possess excellent interpersonal skills, critical thinking, and problem-solving abilities. Proficiency in various computer systems is required, along with effective communication skills.
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