Patient Access Specialist

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Greets and receives patients into the health care facility. Responsible for accurate and timely processing of patient demographics and insurance information. Communicates and supports hospital departments using scheduling system as appropriate. Obtains electronic signature for consent to treat and patient financial obligation. Provides excellent customer service and uses strong written/verbal communication skills. This position is the first impression of WVU Healthcare to the patient.

Minimum Qualifications

• High School diploma or equivalent.

Preferred Qualifications

• Associate degree in a related medical field such as medical assisting or medical office administration.

Experience

• Experience in a medical office setting.

CORE DUTIES AND RESPONSIBILITIES
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The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
• May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
• Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
• Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
• Directs patients needing financial assistance to speak with a Financial Counselor.
• Prepares armband for patient identification.
• Balances daily receipts and cash drawer for patient payments as needed.
• Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
• May initiate auto accident liability coverage. Identifies all patients involved in an auto accident and obtains all pertinent information regarding medical or non-fault liability and documents in registration/billing systems.
• May initiate ERSD (end stage renal disease) screening. Identifies ESRD patients and obtains all pertinent information regarding coverage by SSI and documents in the registration/billing systems.
• May initiate Veterans Administration eligibility screening. Identifies all VA eligible patients and coordinated admission/treatment with VA and documents in the registration/billing systems.
• May initiate Black Lung SSI screening. Identifies all patients covered under Black Lung and documents in the registration/billing systems.
• May initiate Workers Compensation screening. Accurately identifies all patients seeking treatment for work related injuries. Assists in completion of appropriate paperwork and documents in the registration/billing systems.
• Initiates MSPQ (Medicare secondary payer questionnaire). Obtains all information regarding MSPQ. Documents in registration/billing system all information required on the MSPQ.
• Maintains confidentiality according to policy and HIPAA when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information
• Provides to the patient, information concerning insurance, payment of bills and hospital procedures. Consistently maintains current knowledge of major payer payment provisions.
• Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
• Answers phone calls in a professional and courteous manner. Uses phone system in correct manner.
• Schedules, reschedules, or cancels patients in…