Patient Access & Scheduling Specialist

Penn Medicine, University of Pennsylvania Health System; Lancaster (Lancaster County); On-site; USD 34,000 - 40,000; Full time

Job summary

Penn Medicine is seeking a patient access and registration specialist to provide complete scheduling, registration, and insurance verification services across hospital and physician office settings. You will coordinate tests, orders, and referrals while communicating effectively during high-volume periods.

Minimum qualifications include a high school diploma or GED and 1 year of clerical, customer service, or revenue cycle experience in a hospital setting.

Qualifications

• High School Diploma or equivalent GED.
• One 1 year of clerical, customer service, or administrative support experience in a highly customer-oriented organization.
• One 1 year experience with basic keyboarding, personal computer use, and other office setting equipment.
• For Regional Positions only - Valid driver’s license is required.
• One 1 year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release process es.
• One 1 year prior experience of Revenue Cycle in a Hospital Medical Office Setting.
• Previous Epic or equivalent Electronic Medical Record experience.

Responsibilities

• Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and communicating effectively during increased volumes or with complex patients.
• Supports inbound and outbound calls to or from patients, guests, or appropriate parties to provide services. Effectively manages general patient complaints concerns in a professional manner, escalating more complex issues to supervisor manager as needed.
• Understands and supports Point of Service Collections. Performs all necessary functions needed to collect patient obligations.
• Refers patient to appropriate person for questions regarding; collections, insurance coverages, and financial assistance.
• Disseminates or discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc.
• Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable tests.
• Understands insurance company coverage and referral authorization requirements of payors. Performs electronic and manual verification of insurance coverage and understands how to read and accurately apply electronic insurance responses.
• Prepares and or releases records or orders in the e-Health record. Scans all necessary documents into appropriate medical record. Understands the importance of patient’s medical information that is documented on paper. Sends all pertinent information to document imaging or heath information management team with in the established time frames.
• Completes documentation for compliance and regulatory needs and or release of orders. Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operations as applicable .
• Screens and accurately relays messages using protocols established for emergent, urgent and non-urgent calls.
• Demonstrates ability to register unscheduled patients requiring a full financial clearance.
• Completes assigned patient scheduling and registration work queues according to performance standards.
• Ability to resolve work queue issues and missing registration items via electronic medical record.
• For LGHP, this role may necessitate occasional regional travel.
• For Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above.
• Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period.
• Special projects as assigned.
• The following duties are considered secondary to the primary duties listed above:
• Nasal swabbing and general specimen collection may be required in select departments.
• Other duties as assigned.

Education

H.S. Diploma/GED (Required)

Job description

Penn Medicine is seeking a patient access and registration specialist to provide complete scheduling, registration, and insurance verification services across hospital and physician office settings. You will coordinate tests, orders, and referrals while communicating effectively during high-volume periods.

Minimum qualifications include a high school diploma or GED and 1 year of clerical, customer service, or revenue cycle experience in a hospital setting.