Patient Access Specialist - MGC Div Of Surgery-North Grove

Spartanburg Regional Medical Center Spartanburg , SC 29306

Posted 6 days ago

Position Summary The Patient Access Specialist position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process.# Assists with Onboarding of# new associates Cross training of current associates Comprehensive Pre-Registration process for specified departments/modalities due to sensitive nature of patient clinical and/or financial needs and complication of required processes# Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices. Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols Completes clinical screening for specified modalities to ensure patient safety Ability to obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered Responsible for all patient and claim edits for accuracy and compliance with all government and commercial carriers to ensure a clean claim submission# Works as a liaison with Centralized Referral Center or assigned entity to ensure prior-authorizations have been obtained to secure payment and prevent denials Complete and/or process patient payments for account posting# accuracy Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit Responsible for practicing AIDET and all customer/patient related encounters Performs other duties as assigned by department supervisor or manager. Minimum Requirements Education Required:# High School Diploma or Equivalency.


Preferred:


Associates or Bachelor#s degree in Business or Healthcare related field Experience Required:# Minimum three years# experience in healthcare access and/or customer service; Emphasis on financial analysis of insurance benefits for up front collections; Focused knowledge with CPT, HCPCS and ICD-10 codes; Excellent understanding of insurance and medical terminology; Solid Microsoft Office skills required with a focus on Excel and Word.


Preferred:


Minimum four + years# experience in healthcare access, customer service; Minimum one year experience in a financial environment Preferred:# Certified Healthcare Access Associate (CHAA) or Certified Medical Insurance Specialist (CMIS) Other Requirements Responsible for production and adherence to measurable strategic departmental and system goals in relation to the expected#process of patient flow, prevention of denials and point of service cash collection performance measures Excellent typing/keyboarding skills with a high degree of accuracy in inputting data Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes Must possess excellent oral and written communication skills Ability to complete detailed oriented work Must possess a positive attitude and work well as part of a team as well as independently Ability to maintain confidentiality and handle sensitive information Prioritizing work responsibilities is a must in order to facilitate effective time management for task completion#


Position Summary

The Patient Access Specialist position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process.

  • Assists with Onboarding of new associates

  • Cross training of current associates

  • Comprehensive Pre-Registration process for specified departments/modalities due to sensitive nature of patient clinical and/or financial needs and complication of required processes

  • Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter

  • Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices.

  • Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols

  • Completes clinical screening for specified modalities to ensure patient safety

  • Ability to obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered

  • Responsible for all patient and claim edits for accuracy and compliance with all government and commercial carriers to ensure a clean claim submission

  • Works as a liaison with Centralized Referral Center or assigned entity to ensure prior-authorizations have been obtained to secure payment and prevent denials

  • Complete and/or process patient payments for account posting accuracy

  • Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit

  • Responsible for practicing AIDET and all customer/patient related encounters

  • Performs other duties as assigned by department supervisor or manager.

Minimum Requirements

Education

  • Required: High School Diploma or Equivalency.

  • Preferred: Associates or Bachelor's degree in Business or Healthcare related field

Experience

  • Required: Minimum three years' experience in healthcare access and/or customer service; Emphasis on financial analysis of insurance benefits for up front collections; Focused knowledge with CPT, HCPCS and ICD-10 codes; Excellent understanding of insurance and medical terminology; Solid Microsoft Office skills required with a focus on Excel and Word.

Preferred: Minimum four + years' experience in healthcare access, customer service; Minimum one year experience in a financial environment

Preferred: Certified Healthcare Access Associate (CHAA) or Certified Medical Insurance Specialist (CMIS)

Other Requirements

  • Responsible for production and adherence to measurable strategic departmental and system goals in relation to the expected process of patient flow, prevention of denials and point of service cash collection performance measures

  • Excellent typing/keyboarding skills with a high degree of accuracy in inputting data

  • Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes

  • Must possess excellent oral and written communication skills

  • Ability to complete detailed oriented work

  • Must possess a positive attitude and work well as part of a team as well as independently

  • Ability to maintain confidentiality and handle sensitive information

  • Prioritizing work responsibilities is a must in order to facilitate effective time management for task completion

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Access Specialist F/T

Greenville Health System

Posted 1 week ago

VIEW JOBS 1/17/2020 12:00:00 AM 2020-04-16T00:00 Bilingual (Spanish / English) candidates are encouraged to apply. Requisition # 50793 Employment Type Full-time Job Class REPRESENTATIVE FLSA Non-Exempt Job Summary Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education High School diploma or equivalent Minimum Experience 2 years- Admissions, Billing, Collections, Insurance and/or Customer Service Required Certifications/Registrations/Licenses NOT APPLICABLE Specific Acceptable Credentials (if applicable) N/A In lieu of the Above Minimum Requirements A Bachelor's Degree in Business, Finance, Accounting or a directly related field may be substituted for required experience. Other Required Experience Registration and scheduling experience- Preferred Familiarity with medical terminology- Preferred Position Posting Category Non Clinical Professional/Technical Greenville Health System Spartanburg SC

Patient Access Specialist - MGC Div Of Surgery-North Grove

Spartanburg Regional Medical Center