Patient Access Specialist

Omni Family Health; Bakersfield (CA); Presencial; USD 31.000 - 36.000; Jornada completa

Descripción de la vacante

Omni Family Health is seeking a Patient Access Specialist in Bakersfield, CA. The role focuses on ensuring patient eligibility and benefits are verified, facilitating transfers to OFH providers, and obtaining pre-authorization when required.

Daily duties include checkout reconciliation and posting charges with attention to detail. Responsibilities also include resolving registration issues, updating billing information, and guiding patients through Financial Assistance options in collaboration

Formación

• High school diploma or GED with customer service experience in healthcare billing.
• Understanding of coding rules, payer requirements, and billing practices.
• Excellent communication with patients, staff, and external individuals.

Responsabilidades

• Verify eligibility and benefits for scheduled and same-day visits.
• Assist patients in transferring to OFH providers and obtaining authorizations.
• Resolve registration and authorization issues prior to visits and ensure complete billing information.
• Update patient accounts and correct errors prior to patient checkout.
• Assist patients with identifying appropriate Financial Assistance Programs within OFH.
• Coordinate with physicians and OFH leadership as needed for documentation.

Conocimientos

Communication

Customer service

Billing

Educación

High school diploma or GED

Herramientas

NextGen EHR

PMS

QSI

Descripción del empleo

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Patient Access Specialist

Fiscal/Admin-782483 Full-Time Fiscal Bakersfield, CA, US

Salary Range: $22.50 To $26.44 Hourly

Title: Patient Access Specialist

Job Summary:

Facilitates timely access to care by ensuring patient eligibility and benefits are verified prior to services. Works with health plans to transfer patients to Omni Family Health (OFH) and obtain prior authorization for services when required. Performs check out function and reconciles scheduled appointments with posted charges on a daily basis. Responsible for correcting claims and posting errors. Has knowledge of commonly used medical terms and procedures.

Job Duties:

• Verify eligibility and benefits for scheduled patients and same-day appointments according to OFH policy.
• Work with Omni staff and health plans to assist patients with switching patients to an OFH provider (PCP).
• Resolve registration and authorization issues prior to patient visit. Obtain authorizations for pre-determined procedures when required. Ensure all information required to complete the billing process is obtained prior to patient checkout.
• Update patient account to indicate pertinent information required for billing. Review RTS manager daily to correct errors identified prior to patient visit.
• Assist patients with identifying the appropriate "Financial Assistance Program" within OFH that meets their needs. Coordinates these needs with Health Center leadership, scheduling & Navigators.
• Research documentation with physician and/or other medical personnel if clarification is required. Maintains an effective working relationship with OFH providers and Health Center leadership.
• All other related duties as directed by the Billing Supervisor.

Job Requirements:

• Ability to work under pressure.
• Ability to handle multiple functions.
• Understanding of community based organizations.
• Ability to demonstrate effective communication skills (verbal, nonverbal, written) with the medical/dental staff and Office managers.
• Ability to work proficiently and efficiently in a timely manner.
• Ability to problem-solve and make decisions consistent with organizational policies and procedures
• Able to work independently, demonstrating effective initiative, follow-through, organizational skills
• Knowledge of all payer codes.
• Knowledge of all programs offered by OFH.
• Promotes and believes in OFH mission statement.
• Ability to relate to the public regardless of ethnic, religion and economic status.

Additional Duties:

• HIPAA compliance - Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
• Compliance - Ensure compliance with all local, state and federal regulations.
• QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
• IT - Required to learn and use the Electronic Health Record and Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
• All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

• High school graduate or GED with a minimum of two year's experience in handling billing and account receivables in a similar healthcare environment.
• Working knowledge of coding rules, regulations, and third party payer requirements preferred.
• Must possess good customer service skills and professionalism to interact with internal and external customers, patients and staff.