Patient Access Specialist

Talentify; Kenosha (WI); On-site; USD 32,000 - 42,000; Full time

Job summary

Froedtert South is seeking a Patient Access Specialist to serve as the first point of contact for patients. The role includes appointment scheduling, patient check-in/check-out, and registration, with duties extending to prior authorizations and WQ management.

Required are strong computer and customer service skills, knowledge of medical terminology, and experience in patient registration and insurance verification. This position emphasizes accuracy, organization, and effective communication.

Qualifications

• Experience in a health care business or receptionist environment.
• Excellent computer and customer services skills.
• Knowledge of medical terminology; ICD-10, CPT and HCPCS codes and use.
• Familiarity with internet, email and Microsoft office.
• Effective written and verbal communication skills required.
• Demonstrates ability to efficiently organize work, while maintaining a high level of accuracy and productivity.
• Experience in patient registration, insurance verification and health insurance plans.

Responsibilities

• Schedules, reschedules and cancels patient appointments
• Executes pre-arrival registration by adhering to registration standards
• Accurately identifies and enters patient’s insurance coverage
• Performs check-in/check-out functions for patient appointments
• Collects all applicable copays, patient balances, pre-payments and self-pay payments for services
• Manages and resolves assigned departmental WQs
• Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team
• Performs manages care referrals and prior-authorizations functions
• Proficient use of healthcare software utilizing established standards

Skills

Healthcare receptionist

Customer service

Medical terminology

Insurance verification

Microsoft Office

Phone etiquette

Education

High School or GED

Job description

POSITION PURPOSE

• A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ management.

MINIMUM EDUCATION REQUIRED

• High School or GED

MINIMUM EXPERIENCE REQUIRED

• 6 months – 1 year

LICENSES / CERTIFICATIONS REQUIRED

• Formal education beyond high school in Business or Healthcare or equivalent experience preferred.

KNOWLEDGE, SKILLS & ABILITIES REQUIRED

• Experience in a health care business or receptionist environment.
• Excellent computer and customer services skills.
• Knowledge of medical terminology; ICD-10, CPT and HCPCS codes and use.
• Familiarity with internet, email and Microsoft office.
• Effective written and verbal communication skills required.
• Demonstrates ability to efficiently organize work, while maintaining a high level of accuracy and productivity
• Experience in patient registration, insurance verification and health insurance plans.

PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES

• Schedules, reschedules and cancels patient appointments
• Executes pre-arrival registration by adhering to registration standards
• Accurately identifies and enters patient’s insurance coverage
• Performs check-in/check-out functions for patient appointments
• Collects all applicable copays, patient balances, pre-payments and self-pay payments for services
• Manages and resolves assigned departmental WQs
• Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team
• Performs manages care referrals and prior-authorizations functions
• Proficient use of healthcare software utilizing established standards