Patient Access Specialist II

Job Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what’s possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people’s lives.

Work Shift Day (United States of America)

Job Summary:

This job is typically the first point of contact and must ensure a pleasant experience for patients and visitors. Interviews patients and/or their representatives to obtain complete and accurate demographic, financial and insurance information, required for billing and collecting patient accounts. Conducts intensive screening of all Medicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility, prior to registration.

Obtains all necessary customer consents/attestations. Coordinates the collection of all estimated patient liabilities, including co-payments and unmet deductibles. Verifies insurance benefits and coverage for inpatients and outpatients. Responds to customer requests and answers questions regarding various service and account information. Analyzes and rectifies customer concerns using established procedures. Uses computer to access and/or update customer records. Verifies and posts transactions.

Follows established procedures for processing receipts, cash etc. Sorts and files various documents. Assists with general hospital information and directions to departments within and outside of the WHS facility. Establishes financial arrangements to reduce financial risk for WHS, helping to ensure that Well Star is reimbursed for its services. Is in good standing with all hospital policies including those related to attendance and staff development.

Is a role model to all staff members, physicians, patients and visitors in guest relations. Demonstrates positive attitude about Well Star, staff and physicians. Actively participates in Quality Improvement processes in the employee respective department.

• Receive requests for reservations (patient scheduling) from physicians offices and make the necessary pre-admission arrangements.
• Interview each patient or representative to obtain complete and accurate demographic, financial and insurance information.
• Enter all patient information into the registration system.
• Obtain all necessary signatures and is knowledgeable regarding any special forms that may be required by the patients third-party payer.
• Read physicians orders to determine the procedures requested and to instruct patients accordingly.
• Escort or arrange to have patient escorted to procedure areas and assigned rooms.
• Make corrections and updates patient account information in computer.
• Obtain new medical record numbers for newborn admissions and other new patients.
• Document thorough explanatory notes on patient accounts, concerning any non-routine circumstances, clarifying special billing processes.
• Maintain a working knowledge of available information system capabilities and perform all system applications that are required.
• Understand and apply WHS philosophy and objectives, and PAS policies and procedures, as related to assigned duties.
• Understand admission, outpatient and emergency registration process.
• Maintain confidentiality of patient information, in accordance with WHS policy and HIPPA regulations.
• Consistently demonstrate the ability to organize work, recognize and establish appropriate work priorities, and complete work in a productive manner, without creating backlogs.
• Maintain proficiency in data entry skills.
• Assist physicians and their office staff to expedite scheduling, pre-admission, Medicaid screening and pre-certifications on all accounts.
• Resolve errors and applicable Claim, DNB and Patient Work Queues.

• Greets all guest with a positive and professional attitude.
• Receives patients valuables for safekeeping in the hospital safe.
• Answers…