Spartanburg Regional Medical Center Spartanburg , SC 29306
Posted 2 months 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.
Position Responsibilities
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 assigned by department supervisor or manager
Minimum Requirements
Education
Experience
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
License/Registration/Certifications
Spartanburg Regional Medical Center