Patient Access Specialist

Job Responsibilities

Possess accuracy skills to ensure that all documents are properly signed and witnessed as required. Maintain and apply knowledge of current registration requirements. Advise and coordinate patient account information with other department staff, clinical staff, and/or UR/Case management. Ability to work well under pressure and remain calm while maintaining positive patient and physician relations. Recognize accounts that should be referred to management for assistance. Evaluate patient visits/registrations and make recommendations for corrections as needed. Calls insurance companies for precertifications and authorizations. Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with hospital policy. Complete inventory and order specific supplies for the department and keep supplies in proper storage areas so supplies and equipment are readily accessible. Maintain compliance with EMTALA and HIPAA rules and regulations.

The Specialist will interview the patient/guarantor to obtain complete demographic, clinical, billing, insurance, and financial information.

Patient Access Specialist Daily Operations

The Patient Access Specialist will be trained to work all areas of Patient Registration and Switchboard daily operations. Responsible to train other Patient Access Associates in all duties. Must be able to perform other duties as assigned.

Specific Measurable Objectives for Patient Access Specialist

• Must maintain an annual appraisal score of 2.0 or greater.
• Consistently, be able to register 40 patients per 8-hour shift with the possibility of more than 40 if work load dictates.
• If working non-patient registrations during this 8-hour shift, consistently register around 60 per day.
• Each Specialist is expected to maintain a 3% or less weekly error rate.

Education Requirements

• Minimum: High School Diploma or equivalent.
• Preferred: High School Diploma and Certified HealthCare Access Associate (CHAA) Certification or national recognized PFS Certification.

Experience Requirements

• Minimum: Three (3) or more years of customer service or related experience.
• Preferred: Three (3) or more years of experience in Patient Access Registration in an acute care hospital and/or physician office setting.

License/Certification Requirements

• Minimum: None