LEAD PATIENT ACCESS SPECIALIST

System Support; Troy (OH); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Sign-on bonus possible

Job summary

Upper Valley Medical Center is seeking a Lead Patient Access Specialist to oversee patient access operations, assist with audits, and ensure high levels of customer service. The role includes financial assessment, co-pay collection, and coordinating registration, scheduling, and insurance verification processes.

Under supervision of the Access Supervisor/Manager, you will cross-train staff, communicate with physicians and patients, and ensure privacy and regulatory compliance while maintaining

Qualifications

• Requires minimal education background with high school completion or GED.
• Associates degree preferred in healthcare or related business field.
• Medical Terminology certification preferred.

Responsibilities

• Responsible for financial counseling, collecting co-pays and deductibles.
• Handle registration, scheduling, and data entry in ADT system.
• Obtain pre-certifications when applicable and ensure regulatory compliance.

Skills

Customer service

Multi-tasking

Verbal communication

Professional demeanor

Communication with physicians

Privacy/compliance knowledge

Numerical/financial calculations

Relationship building

Adaptability

HIPAA familiarity

Attention to detail

Education

High School diploma or GED

Associate degree preferred in healthcare or related field

Medical Terminology certification preferred

Job description

LEAD PATIENT ACCESS SPECIALIST

UPPER VALLEY MEDICAL CENTER

11AM TO 7:30PM FLEX, FLOAT, INCLUDES WEEKENDS, HOLIDAYS, ON CALL

FULL TIME / 80 HOURS PER PAY

*POSSIBLE SIGN ON BONUS ELIGIBLE *

This position will be under the supervision of the Access Supervisor/Manager. This Lead Patient Access Specialist will maintain open communication with the Supervisor/Manager on issues, opportunities, and situations involving areas of Access Services. This position must respond and relate to the Supervisor/Manager and team as well as internal and external customers of Patient Access Services. This position is responsible for cross-training staff members as well as cross-training for other positions in the event of unforeseen circumstances. In addition, this position will ensure quality customer satisfaction; assist with audits and goals for the department.

The Lead Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements.

The Lead Patient Access Specialist must demonstrate Customer Focus (15) and expert Functional/Technical skills (24) while providing financial assessment and evaluation of each patient entering the hospital. The Lead Patient Access Specialist must comprehend the hospital's financial policies, possess the ability to apply it to the patient, and secure payment for the patient's hospital liability. Lead Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Lead Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights.

Education

• Minimum Level of Education Required: High School completion / GED
• Preferred educational qualifications: Associates Degree preferred in healthcare or related business field.
• Position specific testing: Typing test 25 words per minute preferred

Licensure/Certification/Registration

• Medical Terminology certification preferred.

Experience

• Minimum Level of Experience Required: 1 - 3 years of job-related experience
• Prior specific functional responsibilities: Requires at least two years' experience in customer service and general clerical/office procedures. Applicable class work may be substituted for previous work experience.
• Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. Applicable class work may be substituted for previous work experience.

Knowledge/Skills

• 1. Ability to perform a variety of tasks, often changing assignments on short notice.
• 2. Must be adept at multi-tasking.
• 3. Will be required to learn and work with multiple software/hardware products to be used during the course of an average work day.
• 4. Must possess excellent verbal and listening communication skills.
• 5. Must be able to maintain a professional demeanor in stressful situations.
• 6. Must be adept with machinery typically found in a business office environment.
• 7. Possesses mathematical aptitude to make contractual calculations and estimate patient financial obligations to achieve financial clearance.
• 8. Able to build productive relationships with all contacts.
• 9. Must be able to complete Medicare Compliance training within 90 days of hire.
• 10. Prefer minimally one-year experience in a hospital, medical office/clinic, or insurance company.
• 11. Overall knowledge of third party collections, registration, billing and contracts is preferred.