Senior Patient Access Specialist - St. Elizabeth Youngstown Hospital

Thank you for considering a career at Mercy Health!

Scheduled Weekly

Hours:

40

Work Shift:

All Work Shifts (United States of America)

THIS IS A COLLECTIVE BARGAINING UNIT POSITION

Full Time
- Scheduled for 40 Weekly Hours

Shift Times
- All Shifts

Rotating Weekends and Holidays

The Sr Spec Patient Access is responsible for performing admitting duties for all patients receiving services at Mercy Health. Additional duties can include training and scheduling. This position is responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all regulatory compliance requirements. The Sr Spec Patient Access will work within the policies and processes as that are being performed across the entire organization.

• Responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Mercy Health policies and provide excellent customer service in these interactions with the appropriate level of compassion.
  
  Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
• Responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of revenue cycle.
• Responsible for the development of staff schedules within the patient access department and submits to leadership for final approval.
• Will have on-call responsibilities for the department, including providing after-hours support. As part of on-call responsibilities, be responsible to come in to work at unscheduled times to cover for staffing issues.
• Responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Mercy Health policies and provide excellent customer service in these interactions.
• Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership. Will be held accountable for point of service goals as assigned.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses' name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
• Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible…