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Orthopedic Access Specialist

2 months ago


Billings, Montana, United States Billings Clinic Full time
About the Role

We are seeking a highly skilled Patient Access Specialist to join our team at Billings Clinic. As a Patient Access Specialist, you will play a critical role in ensuring the efficient and effective flow of patient access needs, as well as initiating the revenue cycle throughout our organization.

Key Responsibilities
  • Provide exceptional customer service by greeting, registering, and gathering appropriate information for clinical, patient financial services, regulatory, and meaningful use.
  • Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct, and service expectations.
  • Maintains competency in all organizational, departmental, and outside agency standards as it relates to the environment, employee, patient safety, or job performance.
  • Responsible for patients and guests' first impressions of Billings Clinic and clinical departments.
  • Using best practices in customer service by greeting patients, identifying, and entering accurate patient-specific information, including demographics, guarantor information, subscriber, and insurance information.
  • Responsible for initiating the revenue cycle for timely billing and possible insurance follow-up.
  • Competently and courteously educates patients about various forms that may require their signature.
  • Validates insurance(s) using IntelliSource and analyzes electronic responses ensuring appropriate set-ups, which may be dependent upon State where services are to be rendered.
  • Coordinates with patients, internal, and external providers, nursing staff to ensure Medicaid Passport authorizations are obtained and entered.
  • Schedules and coordinates appointments in a manner that meets the patients' needs and each individual provider's scheduling protocols for the various appointment types, lengths of appointments, and any pre-appointment requirements.
  • May instruct patients on specific preparations and/or restrictions necessary to prepare for ancillary procedures as defined by clinical protocols.
  • Provides in-person marketing for Billings Clinic's patient portal.
  • Explains functionality of the portal and sends electronic invitations to patients for access and establishment of their connection.
  • Initiates collection of copayments and deposits in accordance with each patient's individual insurance or self-pay requirements.
  • Accepts cash, checks, and credit cards and payroll deductions.
  • Accepts payments on accounts.
  • Maintains operating cash and collections and balancing to on-line records, daily.
  • Posts all payments directly onto patients' accounts within the revenue cycle system.
  • Ensures payment to Billings Clinic for credit and debit card transactions by obtaining electronic authorizations at the time of payment collection.
  • May schedule ancillary services.
  • May instruct patients on specific preparations and/or restrictions necessary to prepare for ancillary procedures.
  • May involve other departments as needed for regulatory requirements.
  • Reviews and analyzes AccuReg edits and completes corrections in accordance with AccuReg worklists daily.
Requirements
  • High school diploma or equivalent.
  • Some college or healthcare-focused classes preferred, such as medical terminology, medical office practices, etc.
  • One year customer service experience; healthcare preferred.
  • Demonstrated excellence in customer service skills.