Patient Access Specialist

Work Schedule: PRN.  Business Hours Monday - Friday, 8 am - 5 pm, no weekends or holidays.
Location: 3151 S. 17^th St. Wilmington, NC 28412

Department: Pediatrics

Responsible for staffing multiple hospital entry points to provide registration-related functions including the Emergency Department, Outpatient Imaging, Outpatient Surgery, and others. Responsible for pre-registration, registration, verification activities and gathering and processing of patient demographic and financial information. Responsible for identifying source of payment and collecting payment and interfacing with insurers, members of the hospital and medical staff. Maintains current knowledge of Federal and State regulatory compliance guidelines and joint commission requirements. Promotes departmental objectives through cooperation and quality performance. Cross training required in multiple administrative support functions and registration points. Works in fast paced, stressful environment requiring staffing weekdays and weekends all hours. Depending on the assigned facility, scheduled shift, and other factors, may be responsible for physically assisting patients into the registration area and/or providing bedside registration.

• Education:
  • High School Diploma or GED, required.
• Experience:
  • Minimum one year experience in patient access, registration, billing, cash collection, insurance and/or pre-certification in a medical environment, preferred.
  • One year Customer Service experience in any field, preferred.
  • One year of clerical experience in medical office setting. Other related experience may be considered in lieu of medical office experience, preferred.
• Additional Skills (required):
  • Demonstrated knowledge of insurance plans and coordination of benefits, registration processes, collection and cash receipting in compliance with regulatory standards, emergency codes and appropriate responses, and applicable federal and state healthcare regulations. Excellent interpersonal and communication skills, possesses experience and competency in customer relation skills. Ability to organize and prioritize work in a stressful environment with changing priorities. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Ability to work effectively as a member of a team and individually. Good oral and written communication skills. Good problem solving skills. Basic medical terminology, knowledge can be obtained through formal classes or work experience. Basic computer skills and experience in patient registration systems. Maintains current knowledge of Federal and State regulatory compliance guidelines and JCAHO requirements. Participates in and facilitates communication between their supervisors other Revenue Cycle Departmental staff and management in order to strengthen and improve processes within the revenue cycle. Adheres to departmental objectives through cooperation and quality performance. Detailed knowledge of government payors. Ability to drive/travel to multiple facilities/locations as needed. Cross trained in multiple areas including ability to work in all registration points.
• Additional Skills (preferred):
  • Reading procedural orders, basic scheduling functions, understanding of insurance benefits, insurance plans and coordination of benefits.