Patient Access & Financial Clearance Specialist

Brookwood Baptist Health; Simpsonville (SC); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, Vision

403(b) Retirement Savings Plan w/match

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Paid Time Off (up to 5 weeks to start)

Life Insurance

Extended Leave Plan (ELP)

Family Care

Educational Benefits including tuition

Job summary

Brookwood Baptist Health in Simpsonville, SC is seeking a Registration Specialist to provide complex registration, authorization, financial clearance, and related services for high-complexity or high-dollar specialty services. All benefits start on day one with competitive pay and a comprehensive benefits package.

You will work with staff and physicians to remove denials, verify benefits, obtain authorizations, collect co-pays, and ensure accurate data entry across multiple systems.

Qualifications

• Associate’s degree preferred.
• Three (3) years’ experience in customer service, financial, business, or healthcare setting required.
• None.

Responsibilities

• Requires understanding of the clinical nature of these services and takes responsibility for building relationships with staff and physicians to remove roadblocks that may cause denials or poor patient service or outcomes.
• Monitors and reports issues in a timely manner, identifies trends, and problem solves to ensure complete resolution. Provides exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
• Identifies customer service issues and resolves or initiates necessary follow-up. Implements service recovery efforts as appropriate.
• Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
• Explains necessary forms and obtains signatures from patient/guarantor.
• Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
• Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
• Collects copays, coinsurance, and deductibles as appropriate and meets all cash collection metrics as set forth by the department. In addition, collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.
• Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
• Documents authorization and benefit information in registration system and obtains authorization on behalf of the patient or physician as applicable.
• Ensures capture of information on patient’s Primary Care Physician and Ordering Physician.
• Exhibits thorough knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources.
• Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
• Collects and inventories patient valuables following policy guidelines as needed.
• Maintains thorough understanding of the medical necessity screening process and appropriate systems.
• Cross-trained with appropriate knowledge and skills necessary to staff at any facility, including but not limited to Front Desk, Admitting Office, Cashier, Insurance Verification, Floor Representatives, Pre-Registration, Scheduling and Emergency Department Business Office.
• Performs scheduling functions and maintains open communication with physicians and their offices, patients, all ancillary and surgical areas to include scheduling, rescheduling and cancellations of single/multiple tests and procedures.
• Meets federal, state and hospital requirements related to compliance issues.
• Maintains reasonably regular, punctual attendance consistent with Baptist Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Baptist Health policies and procedures.

Skills

Customer service

Education

Associate’s degree preferred

Job description

Brookwood Baptist Health in Simpsonville, SC is seeking a Registration Specialist to provide complex registration, authorization, financial clearance, and related services for high-complexity or high-dollar specialty services. All benefits start on day one with competitive pay and a comprehensive benefits package.

You will work with staff and physicians to remove denials, verify benefits, obtain authorizations, collect co-pays, and ensure accurate data entry across multiple systems.