Patient Access Specialist

careers-baptisthealthal; Easton (MD); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Plan

HSA

FSA

PTO

Life Insurance

Extended Leave

Family Care

Tuition Reimbursement

Job summary

Baptist Health Brookwood Hospital is seeking a Registration Specialist to perform complex registration, authorization, and financial clearance for high-dollar services. You will work closely with staff, physicians, and patients to ensure accurate documentation, timely authorizations, and proper collection of co-pays and balances.

The role requires an Associate’s degree (preferred) and at least three years in customer service or healthcare support.

Qualifications

• Three years’ experience in customer service, financial, business, or healthcare setting required.
• Strong communication and documentation skills.
• Ability to navigate registration and scheduling systems with accuracy.

Responsibilities

• Provides complex registration, authorization, and financial clearance services for high-dollar or complex services.
• Builds relationships with staff and physicians to remove denials or service delays.
• Explains forms, collects signatures, and obtains necessary authorizations.
• Verifies benefits, collects co-pays and deductibles, and maintains cash collection metrics.
• Documents authorization and benefit information in registration systems and ensures physician details are captured.

Skills

Customer service

Financial skills

Healthcare knowledge

Education

Associate’s degree preferred

Job description

Position Summary

At Baptist Health, our mission is to improve the health and quality of life for the individuals and communities we serve.

Baptist Health Brookwood Hospital offers great NEW competitive pay and benefits!

• Medical, Dental, Vision
• 403(b) Retirement Savings Plan w/matching
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (up to 5 weeks to start)
• Life Insurance
• Extended Leave Plan (ELP)
• Family Care (childcare, elder care, pet care)
• Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

ALL benefits start on day one!

A Brief OverviewProvides complex registration, authorization, financial clearance, and financial clearance services for highly complex or high dollar specialty services (ie Synagis scheduling and authorization.

Our people are passionate about what they do, the product they sell, and the customers they serve. If you're looking for an opportunity to be a part of a work family that values collaboration, innovation and dedication, we're the right company for you.Section 1557 Non-DiscriminationThe Office for Civil Rights (OCR) enforces Section 1557 of the Affordable Care Act (Section 1557), which prohibits discrimination on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics), in covered health programs or activities. 42 U.S.C. 18116. Company is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

Responsibilities

What you will do

• Requires understanding of the clinical nature of these services and takes responsibility for building relationships with staff and physicians to remove roadblocks that may cause denials or poor patient service or outcomes.
• Monitors and reports issues in a timely manner, identifies trends, and problem solves to ensure complete resolution. Provides exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
• Identifies customer service issues and resolves or initiates necessary follow-up. Implements service recovery efforts as appropriate.
• Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
• Explains necessary forms and obtains signatures from patient/guarantor.
• Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
• Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
• Collects copays, coinsurance, and deductibles as appropriate and meets all cash collection metrics as set forth by the department. In addition, collects outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.
• Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
• Documents authorization and benefit information in registration system and obtains authorization on behalf of the patient or physician as applicable.
• Ensures capture of information on patient’s Primary Care Physician and Ordering Physician.
• Exhibits thorough knowledge in the use of all registration and scheduling systems, electronic verification tools and Web based resources.
• Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
• Collects and inventories patient valuables following policy guidelines as needed.
• Maintains thorough understanding of the medical necessity screening process and appropriate systems.
• Cross-trained with appropriate knowledge and skills necessary to staff at any facility, including but not limited to Front Desk, Admitting Office, Cashier, Insurance Verification, Floor Representatives, Pre-Registration, Scheduling and Emergency Department Business Office.
• Performs scheduling functions and maintains open communication with physicians and their offices, patients, all ancillary and surgical areas to include scheduling, rescheduling and cancellations of single/multiple tests and procedures.
• Meets federal, state and hospital requirements related to compliance issues.
• Maintains reasonably regular, punctual attendance consistent with Baptist Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Baptist Health policies and procedures.

Qualifications

• Associate’s degree preferred.
• Three (3) years’ experience in customer service, financial, business, or healthcare setting required.