Patient Access & Registration Specialist

Miami Children’s Hospital; Florida; Hybrid; USD 32,000 - 42,000; Full time

Job summary

Miami Children’s Hospital is seeking a patient access assistant to greet patients and families, collect demographics, and schedule registrations for services. The role includes validating third party payer information, obtaining authorizations, and collecting payments with receipts.

The incumbent will verify payer data, secure necessary consents and living wills when appropriate, and document activities in the hospital system.

Qualifications

• 1 year of customer service experience.
• High school education or equivalent preferred.
• Able to communicate effectively in English both verbally and in writing.
• Fluent in Spanish strongly preferred.
• Basic proficiency in Microsoft Office including Word, Excel and Outlook.
• Able to maintain confidentiality of sensitive information.
• Able to learn and use system-wide hospital application(s).
• Able to adapt and react calmly under stressful conditions in a pleasant manner.

Responsibilities

• Greets patients and families in person or on the telephone in a respectful and empathetic manner.
• Interviews patients/families to obtain demographic, third party payer, financial/medical information, and identification to schedule, or pre-register/register and/or check-in patients.
• Verifies third party payer information via the web or telephone.
• Obtains and documents appropriate authorization for hospital services via web or fax.
• Collects payments and provides receipts.
• Directs families to the appropriate location in the facility by phone, text, email, and/or in person.
• Notifies management of any insurance/financial discrepancies for approval.
• Documents all activities in the Collection Notes file of the computer system as appropriate.

Skills

Customer service

Spanish language

Communication

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Job Description

Description

Job Summary

Greets patients and families in person or on the telephone. Obtains demographic, third party payer, financial information, medical information, and identification to schedule or register the patient for services. Obtains authorization and collects payments when required.

Job Specific Duties

• Greets patients and families in person or on the telephone in a respectful and empathetic manner. Responds to questions and/or problems and keeps open lines of communication with patients/families.
  
• Complies with applicable governmental regulations HIPAA (Health Information Portability and Accountability Act of 1996) and EMTALA (Emergency Medical Treatment Active Labor Act).
  
• Interviews patients/families to obtain demographic, third party payer, financial/medical information, and identification to schedule, or pre-register/register and/or check-in patients.
  
• Collects payments and provides receipts.
  
• Verifies third party payer information via the web or telephone.
  
• Obtains and documents appropriate authorization for hospital services via web or fax, and follows up until authorization is obtained.
  
• Documents all activities in the Collection Notes file of the computer system as appropriate.
  
• Obtains all necessary consents for patient.
  
• Obtains all advanced directives for patients and assist in completing/ providing Living Will document when appropriate.
  
• Secures patient ID bracelet, ensures accuracy, and obtains validation from patient and/or legal guardian.
  
• Directs families to the appropriate location in the facility by phone, text, email, and/or in person.
  
• Verifies patients are accompanied by legal guardian and notifies Risk Management if patient is present with anyone other than legal guardian for any non-emergent visits.
  
• Notifies patient/family of deductibles, co-payments, deposits required for registration, and advises/requests payments for out-of-pocket expenses.
  
• Notifies management of any insurance/financial discrepancies for approval.
  
• Communicates with appropriate departments if any issues/questions arise and/or to accommodate any special needs for patients.
  
• Obtains and validates prescriptions and clinical documents when appropriate.
  
• Places and monitors patients arriving for outpatient services by using patient tracking system.
  
• Corrects any registration errors made utilizing the QA system.
  
• Scans all documents to the appropriate folder in the PEDS system.
  
• Schedules hospital services as appropriate.
  
• Triages incoming facility inquiries and routes appropriately.
  
• Secures adult exemptions for outpatient procedures when necessary.
  
• Identifies duplicate financial and medical record numbers and handles as appropriate.
  
• Performs down time manual registration as needed.

Qualifications

• 1 year of customer service experience

Knowledge, Skills, and Abilities

• High school education or equivalent preferred.
  
• 1 year of healthcare environment preferred.
  
• Able to communicate effectively in English both verbally and in writing, in a clear, concise, and courteous manner.
  
• Fluent in Spanish strongly preferred.
  
• Basic proficiency in Microsoft Office including Word, Excel and Outlook.
  
• Able to accurately enter and interpret data.
  
• Able to adapt and react calmly under stressful conditions in a pleasant manner.
  
• Able to serve customers with courtesy and respect.
  
• Able to learn and use system-wide hospital application(s).
  
• Able to maintain confidentiality of sensitive information.
  
• Ability to follow complex written or verbal instructions to solve problems.
  
• Able to establish necessary professional relationships, interact, and communicate effectively with internal and external customers.
  
• Able to effectively manage and use resources to successfully meet the competing deadlines of a variety of tasks, problems, and projects.
  
• Able to take and respond to on-call shift or shifts as assigned on weekdays, weekends, and holidays

Job

Primary Location

Department

Department

: PALM BEACH GARDENS OP-PAT ACC-2100-571905