Patient Access & Eligibility Specialist

Logan Health; Tennessee; On-site; USD 36,000 - 48,000; Full time

Job summary

Logan Health is seeking a Patient Registration Specialist to complete patient registration duties and provide administrative support for assigned area(s). You will collect and validate demographic and insurance information, verify authorizations, and input data into the registration system while explaining estimated patient liability at point of service.

Responsibilities include initiating insurance verification, collecting payments, identifying patients needing financial counseling and

Qualifications

• Related coursework beyond high school or experience in a complex administrative support position required. Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred.
• Minimum of one (1) year experience in a customer service focus position required.
• Possess knowledge and understanding of medical terminology and medical coding preferred.
• Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred.
• Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.

Responsibilities

• Prioritizes and completes registrations in the order of the patients’ acuity level as determined by the clinical staff and department protocol.
• Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration. Ensures accurate collection and inputs critical data elements.
• Launches insurance verification software to verify insurance eligibility and benefits. Calculates and communicates out of pocket liability as appropriate.
• Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies.
• Identifies and refers self-pay patients to financial counseling per department procedure.
• Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to leadership.
• Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided.
• Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information.
• Provides administrative services to support effective and efficient operations to assigned area(s).
• The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Skills

Customer service

Interpersonal skills

Communication skills

Organizational skills

Microsoft Office

Teamwork

Education

Associate’s or Bachelor’s degree preferred

Tools

Microsoft Office Suite

Job description

Logan Health is seeking a Patient Registration Specialist to complete patient registration duties and provide administrative support for assigned area(s). You will collect and validate demographic and insurance information, verify authorizations, and input data into the registration system while explaining estimated patient liability at point of service.

Responsibilities include initiating insurance verification, collecting payments, identifying patients needing financial counseling and