Patient Access Specialist II

Job Title & Specialty Area: Patient Access Specialist II

Department: Cardio Pract

Location: Remote (Need to be on site for some meetings and events)

Shift: M-F 8A -4:30P

Job Type: On-Site

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:

Responsible for the provision of complex patient access activity for all ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction.

Responsibilities:

• Performs complex registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
• Performs complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
• Resolves complex patient issues, responds to questions on reimbursement and serves as a resource to patient access specialists as needed, including on-the-job training
• Provides significant input for and assistance with the implementation of team-oriented process improvement initiatives for the department and organization
• Performs other duties as assigned

WORK EXPERIENCE

• At least 2 years Patient Access operations activities in Pediatrics settings handling insurance authorization and verification required
• Able to explain EOB to patients family and provide advice for next step after denied
• Experience using EPIC system preferred

EDUCATION

• High school diploma or equivalent required
• Two-year Associate's degree or equivalent experience required

LICENSES AND CERTIFICATIONS

• National Association of Healthcare Access Management CHAA Certification preferred
• Healthcare Financial Management Association CRCR Certification preferred

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits - How We'll Care for You:

• Employee portion of medical plan premiums are covered after 3 years.
• 4%-10% employee savings plan match based on tenure
• Paid Parental Leave (up to 12 weeks)
• Caregiver Leave
• Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.