PATIENT ACCESS SPECIALIST

POSITION: PATIENT ACCESS SPECIALIST  

DEPARTMENT: PFS ACCESS ETC

SHIFT: EVENING SHIFT WITH EVERY OTHER WEEKEND, HOLIDAYS

STATUS: PART TIME / 40 HOURS EVERY TWO WEEKS

FACILITY: MIAMI VALLEY HOSPTIAL

The Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements.
The Patient Access Specialist must demonstrate Customer Focus (15) and expert Functional/Technical skills (24) while providing financial assessment and evaluation of each patient entering the hospital. The Patient Access Specialist must comprehend the hospital’s financial policies, possess the ability to apply it to the patient, and secure payment for the patient’s hospital liability. Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights.
 

Education

Minimum Level of Education Required: High School completion / GED

Preferred educational qualifications: Associates Degree preferred in healthcare or related business field.

Position specific testing: Preferred Windows-based computer typing 25 wpm.

Licensure/Certification/Registration

Medical Terminology certification preferred.

Experience

Minimum Level of Experience Required: 1 - 3 years of job-related experience

Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. Applicable class work may be substituted for previous work experience.

Knowledge/Skills

1. Ability to perform a variety of tasks, often changing assignments on short notice.

2. Must be adept at multi-tasking.

3. Will be required to learn and work with multiple software/hardware products to be used during the course of an average work day.

4. Must possess excellent verbal and listening communication skills.

5. Must be able to maintain a professional demeanor in stressful situations.

6. Must be adept with machinery typically found in a business office environment.

7. Possesses mathematical aptitude to make contractual calculations and estimate patient financial obligations to achieve financial clearance.

8. Able to build productive relationships with all contacts.

9. Must be able to complete Medicare Compliance training within 90 days of hire.

10. Prefer minimally one-year experience in a hospital, medical office/clinic, or insurance company.

11. Overall knowledge of third party collections, registration, billing and contracts is preferred.