Patient Access Specialist I - Chardon, United States - University Hospitals

University Hospitals Chardon, United States

4 weeks ago

Part time

Description

UH Geauga Medical Center

Part-time 16 hours - Monday through Friday rotating weekends (3pm - 12:00am) and holidays.

Position Summary

As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer satisfaction and decreases bad debt. Access Specialists are skilled in patient/physician relations, registration, scheduling and use of multiple, complex systems

Essential Functions

Interviews patients (face-to-face/phone/via document) and utilizes multiple complex applications to create (or validate existing) patient medical record and insurance/bill claim using demographic and insurance information.
Mastery of skills relating to insurance coverage, benefits, rules & regulations and allocation of plans accurate information and fulfillment of requirements resulting in expected payment for services
Verifies and allocates insurance plans utilizing electronic eligibility tools, phone calls payer, accesses web portals and initiates appropriate action for services including non-covered and out-of-network insurance services
Executes patient estimate, educates guarantor regarding charges and out-of-pocket liability and establishes payment plan when applicable for professional and technical services.
Successfully calculates, collects and posts co-pays, deductible, co-insurance and prior balance due from patient in accordance with policy; meets or exceeds collection targets and productivity standards. Takes appropriate steps to balance and secure cash in accordance with UH policy.
Takes steps to prevent medical record duplications or incorrect patient selection imperative to patient safety; safeguards Protected Health Information (PHI).
Performs other related duties as assigned and participates in enterprise special projects as needed.

Required For All Jobs

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications:
Qualifications

Education

High School Equivalent / GED Required

Work Experience

1+ years of healthcare or customer service experience Required
- Two years' experience in healthcare or customer service preferred.
College associate or bachelor's degree is equivalent to 1 year of work experience.

Knowledge, Skills, & Abilities

Experience utilizing multiple complex software solutions Required
Dependable to work in this 24/7/365 department with willingness to travel to other sites and locations throughout the enterprise including possible overtime. Required
Notable client service, communication and relationship building skills. Required
Must have ability to perform in a fast-pace and stressful environment (such as the Emergency Department). Required
Demonstrates ability to function independently and as a team player in a fast-paced environment. Required
Must have strong written and verbal communication skills. Required
Professional demeanor Required
Detail-oriented and organized, with good analytical and problem solving ability Required
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, multi-line phone, FAX machine, etc.) Required

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely 20 lbs
Carrying Rarely 20 lbs
Pushing Rarely 20 lbs
Pulling Rarely 20 lbs
Climbing Rarely 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

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