Patient Access & Scheduling Specialist

JPS Health Network; Azle (TX); On-site; USD 21,000 - 29,000; Full time

Job summary

JPS Health Network in Azle, Texas, seeks a Patient Access Call Center Specialist – ARC to handle inbound/outbound calls, scheduling, pre-registration, and referrals across multiple clinic sites. The role supports expediting patient care and reimbursement in a busy Access Resource Center.

You will verify demographics and insurance by phone, collect payments when appropriate, coordinate referrals, and assist with pre-authorizations and scheduling while ensuring privacy and patient rights.

Qualifications

• High School Diploma, GED, or equivalent.
• 1+ years of practical experience with computer programs and/or applications.
• Required to pass assigned training knowledge and application exit exam within 30 days of hire.

Responsibilities

• Delivers a high-quality patient experience through inbound and outbound call resolution within established protocols.
• Appropriately mitigates issues and assists patients with needs and /or questions in a timely manner using AIDET principles.
• Interviews and updates the patient’s demographics, and insurance, by phone in a respectful, professional, accurate and efficient manner; collects payments where appropriate and performs elements of pre-registration.
• Coordinates and schedules appointments, selects appropriate referral, provider, visit type and location to expedite patient access to care, to minimize no-shows and maximize reimbursement.
• Accurately identifies patient and registers JPS patients while maintaining regulatory and functional knowledge of all information required to register patient types in database ensuring timely and accurate reporting/billing.
• Provides awareness as needed related to notice of privacy practices, patient rights and responsibilities, MyChart enrollment, etc.
• Collects patient owed cost sharing amounts (copays, deductibles, coinsurance, full costs) in accordance with ARC SOPs. Reconciles case drawer at end of shift.
• Utilizes critical thinking to determine if escalation is required to resolve patient situations and identifies trends for management intervention.
• Maintains scheduling support for the Network and ensures referrals, pre-authorizations have been obtained as required by payer.
• Coordinates diagnostic and ancillary scheduling; schedules appointments, selecting appropriate referral, provider, visit type and location to expedite access to care.
• Performs, organizes, and streamlines operational tasks to reduce the potential for errors.
• Assists Out of Network patients with financial questions and escalates to the appropriate party.
• Provides information regarding services and additional assistance as needed.
• Identifies MRN or creates new MRN, avoiding duplicates and overlays per National Patient Safety Goals.
• Maintains productivity levels with minimal errors as per department standards.
• Attends mandatory educational and safety program sessions and may perform other duties as assigned.

Education

High School Diploma, GED, or equivalent

Job description

JPS Health Network in Azle, Texas, seeks a Patient Access Call Center Specialist – ARC to handle inbound/outbound calls, scheduling, pre-registration, and referrals across multiple clinic sites. The role supports expediting patient care and reimbursement in a busy Access Resource Center.

You will verify demographics and insurance by phone, collect payments when appropriate, coordinate referrals, and assist with pre-authorizations and scheduling while ensuring privacy and patient rights.