The Patient Access Specialist is responsible for establishing and maintaining complete patient records within the Epic System, including all patient demographic information, and insurance information to establish a clean claim, and to ensure that Joint Commission, Meaningful Use, CMS and Billing requirements are met. They will establish and assign hospital account numbers to be used for billing and documentation. They will also determine out of pocket costs for patients, and collect deductibles, co-payments, and coinsurance at the time of registration. They will identify and handle customer needs, providing exceptional customer service in a timely and efficient manner while working in a team environment. The Patient Access Specialists are a resource for physicians, Access Center staff, office staff, nursing units, ancillary hospital departments, patients, and family members.
High school diploma or equivalent
1 year experience in a healthcare setting performing scheduling, registration, insurance verification and/or billing functions.
Experience with, as well as working knowledge of medical terminology
Customer Service Experience
Knowledge of scheduling and registration requirements
HIPAA regulatory requirements
Knowledge of healthcare operations
Knowledge of telephone communication skills
Standard Keyboarding Skills
Medical Terminology training, Epic System training, Knowledge of Insurance Terminology and processes
Previous experience working with the Epic System
Working knowledge of Epic - preferred ADT, Resolute, Cadence Referrals, Radiant, OpTime
Knowledge of insurance verification using various websites/software
Working knowledge of Medical Terminology
Working knowledge of insurance terminology, including CPT and ICD-9 Codes or their successor.
Call Center Experience
Knowledge of Microsoft Office programs (e.g., Word, Outlook and Excel)
Knowledge of the healthcare insurance industry and regulations