Patient Access Specialist

Reports to the Supervisor or Manager. Follows established Beacon policies and procedures to admit and register patients for services in a professional and courteous manner. Completes the pre-registration, registration, insurance verification and must be able to accurately decipher eligibility responses and relay that information back to the patient. Ability to communicate effectively with internal and external customers. Collects applicable co-payments, deductibles, and obtains insurance information from the patient.

Verifies insurance benefits, posts applicable co-payments, deductibles, and performs daily cash balancing procedures. Obtains all required signatures on paperwork and performs clerical duties as necessary. Must maintain regulatory and functional knowledge of all information required which ensures timely and accurate reporting/billing.

• MISSION:
  We deliver outstanding care, inspire health, and connect with heart.
• VALUES:
  Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:
  Personally connect. Keep everyone informed. Be on their team

• Schedule patients with providers, utilize multiple scheduling templates and maintain appointments with provider(s) rotation. Both in-person and through digital platform options.
• Complete patient screening and sign in process while striving to minimize patient waiting time. Ensure patients are informed of delays and the status of their waiting times.
• Check patients in for their appointments and handle any special needs of the patient.
• Accurately capture all necessary patient data, insurance and other information pertinent to the visit that will allow for proper claim processing procedures.
• Review orders for completeness.
• Print or attach orders to the correct account from WQM as needed.
• Assist patient in obtaining an order when one was not sent or request a complete order when needed.
• Scan registration documents into the EMR.
• Verify the patient's insurance eligibility and benefits in Experian.
• Review Experian alerts to correct any insurance errors in Cerner PM Office or Cerner Practice Management.
• Run Experian estimate to accurately identify co-pay, co-insurance, and/or patient deductible.
• Process payment in Rev Spring and generate receipt.
• Maintain cash drawer in order to make the appropriate change for patients.
• Balance and reconcile the cash drawer at the end of the shift.
• Refer self-pay patients to the eligibility specialist.
• Refer patients to the financial counselor for payment arrangements.
• Check Medicare Medical Necessity in Cerner Stand Alone for non-scheduled procedures and produces an ABN when appropriate.
• Adherence to any specific payer requirements such as MSPQ:
  Medicare Secondary Payer Questionnaire completion.
• Consistent daily monitoring of work queues, schedules and reports to assure accuracy of scheduling, authorization capture, insurance eligibility and timely resolution of account alerts.
• Protect patient confidentiality when handling orders and check in documents.
• Obtain signatures by E-signature or paper for the consent to treat, privacy notice and all other necessary forms.
• Assures patients are checked out and the necessary follow-up appointments are scheduled with accuracy based on established office guidelines.
• Provides patients with required wellness paperwork for completion and route to scan, generates proof of appointment for employer or school.
• Responsible for completion of Insurance payer forms:
  Medicaid patient add form, etc.
• Using numerous software platforms (multiple EMR’s, insurance websites, referral database, scheduling software, etc.) to conduct tasks for patient care.
• Prepares and opens office reception area for patient's arrival. Keeping the area tidy and welcoming throughout the day. Performs close of office ensuring all patients have been checked-out.

• Cheerfully greet patients, family members and visitors and make every effort to ensure that they are processed or directed to the appropriate area in a timely manner.
• Notify…