Compassionate Patient Access Specialist

ThedaCare; Neenah (WI); Presencial; USD 38.000 - 52.000; Jornada completa

Descripción de la vacante

ThedaCare, a community health system based in Neenah, Wisconsin, seeks a Patient Access Registrar to admit patients and manage pre-registration, insurance data, and scheduling. You will balance compassionate customer service with accurate data entry.

You’ll operate the phone switchboard, verify eligibility, explain consent forms, collect demographic information, and support a clean claim rate while upholding compliance.

Formación

• High School diploma or GED preferred
• Must be 18 years of age

Responsabilidades

• Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable.
• Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion.
• Is accountable for point-of-service goals as assigned.
• Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete.
• Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.
• Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt.
• Provides information to the patient/representative or may create and process payment plan options.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures.
• Explains and distributes patient education documents.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code.
• Enter benefit data to support point-of service collections and billing processes to assist with a clean claim rate.
• Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare.
• Distributes and documents other forms and pamphlets.
• Performs other duties as assigned including answering the phones at other facilities.

Conocimientos

Customer service

Communication

Educación

High School diploma or GED

Herramientas

ABN software

Descripción del empleo

ThedaCare, a community health system based in Neenah, Wisconsin, seeks a Patient Access Registrar to admit patients and manage pre-registration, insurance data, and scheduling. You will balance compassionate customer service with accurate data entry.

You’ll operate the phone switchboard, verify eligibility, explain consent forms, collect demographic information, and support a clean claim rate while upholding compliance.