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Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.
Responsibilities
- Practice Patients First philosophy and adhere to high standards of customer service, fostering a team atmosphere.
- Respond to questions and concerns.
- Forward, direct, and notify Team Lead or Operations Coordinator of extraordinary issues as necessary.
- Maintain patient confidentiality per HIPAA regulations.
- Provide exceptional customer service to patients, creating a positive first impression of Northwestern Medicine.
- Exceed all consumer requests and alert management of issues requiring escalation.
- Identify and collect patient demographic information according to organization standards.
- Interact with hospital departments and physician offices to schedule and direct patients effectively.
- Reach out to patients to schedule appointments.
- Perform medical necessity checks for scheduled services and communicate options if appointments fail.
- Inform patients of issues with securing financial accounts.
- Complete out-of-pocket estimations as requested.
- Provide training and education as needed.
- Manage work schedule efficiently, completing tasks on time.
- Complete other duties assigned by the manager.
- Participate in cross-training for departmental coverage.
- Participate in Quality Assurance reviews to ensure data integrity.
- Use effective service recovery skills to resolve problems.
- Follow department and hospital policies and procedures.
- Avoid putting patients at financial or safety risk.
- Perform other duties as assigned.
Communication And Collaboration
- Communicate information to patients regarding referrals and consultations.
- Collect authorization numbers in appropriate systems.
- Foster a professional environment for communication across units.
- Attend intra/interdepartmental meetings as needed.
- Communicate customer satisfaction issues to relevant individuals.
- Demonstrate teamwork and assist coworkers.
- Communicate effectively, respecting diverse opinions.
- Support internal customers and accommodate all communication abilities.
Technology
- Utilize online systems to verify or print patient orders.
- Verify insurance eligibility and benefits.
- Complete accurate handoff instructions in Epic.
- Use computer applications efficiently.
- Run real-time insurance eligibility checks.
- Send descriptive Epic messages and telephone encounters.
Efficiency, Process Improvement, And Business Growth
- Proactively prevent issues with patient visits.
- Ensure complete and accurate registration data.
- Understand quality metrics and analyze account activity.
- Suggest procedural improvements and participate in quality activities.
- Monitor registration and scheduling quality standards.
- Adjust processes to meet standards and share workflow information.
- Adapt to schedule changes and evolving healthcare policies.
Qualifications
Required:
- High School diploma or equivalent.
- 2-3 years customer service or medical office experience.
- Excellent interpersonal and communication skills.
- Proficiency in data entry and typing.
- Ability to read, write, and communicate effectively in English.
- Basic computer skills and ability to type 40 wpm.
- Ability to multi-task and provide excellent customer service.
- Strong organizational and problem-solving skills.
Preferred:
- Additional education and language skills.
- Healthcare finance and insurance experience.
- Experience in patient scheduling and registration.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate based on age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.
Benefits
We offer a range of benefits to support employees' well-being and financial security. Visit our Benefits section to learn more.