Patient Access Specialist

Talentify; Pleasant Prairie (WI); On-site; USD 36,000 - 48,000; Full time

Job summary

Froedtert South in Wisconsin seeks a Patient Access Specialist to be the first contact for patients, handling scheduling, check-in/out, registration, and insurance verification to ensure smooth patient flow and accurate data entry.

This role requires a high school diploma, strong computer skills, knowledge of medical terminology, and excellent communication. Training and a team-focused environment are offered.

Qualifications

• High school diploma or GED required.
• Experience in healthcare or receptionist environment.
• Knowledge of ICD-10, CPT, HCPCS codes.
• Proficient with internet, email, and Microsoft Office.
• Strong written and verbal communication.
• Ability to organize work accurately and efficiently.
• Experience in patient registration and insurance verification.

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 and routes via healthcare software to clinicians.
• Performs manages care referrals and prior-authorizations functions.
• Proficient use of healthcare software utilizing established standards.

Skills

Healthcare experience

Customer service

Medical terminology

Microsoft Office

Communication

Insurance verification

Education

High School or GED

Tools

Healthcare software

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 (work queue) 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