Patient Access Specialist

Riverview Health; Westfield (IN); On-site; USD 36,000 - 48,000; Full time

Job summary

Riverview Health in Westfield, IN seeks a Patient Access Specialist to ensure high-quality patient registrations by gathering accurate information promptly. You will coordinate with hospital departments and physician staff to support quality care for all patients.

Responsibilities include handling patient accounts, obtaining demographics and insurance details, and communicating with insurers for precertifications.

Qualifications

• Minimum: High School Diploma or equivalent.
• Preferred: CHAA Certification or national PFS Certification
• Minimum: three (3) or more years of customer service or related experience.
• Preferred: Three (3) or more years experience in Patient Access Registration in an acute care hospital and/or physician office setting.
• Knowledge of EMTALA and HIPAA compliance.

Responsibilities

• Possess accuracy skills to ensure documents are properly signed and witnessed.
• Advise and coordinate patient account information with other department staff, clinical staff and UR/Case management.
• Recognize accounts that should be referred to management and make recommendations for corrections.
• Calls insurance companies for precertifications and authorizations.
• Complete inventory and order supplies for department and keep supplies accessible.
• Maintain EMTALA and HIPAA compliance; interview patient/guarantor to obtain complete demographic, clinical, billing, insurance, and financial information.
• Trains other Patient Access Associates in all duties.
• Must be able to perform other duties as assigned.
• Register approximately 40 patients per 8-hour shift; can be higher with workload; up to around 60 per day when non-patient registrations occur.

Education

High School Diploma or equivalent

CHAA Certification or national PFS Certification (preferred)

Job description

Job Summary

The Patient Access Specialist will ensure the quality of patient registrations by obtaining thorough and accurate information in a timely and efficient manner. The Patient Access Specialist interacts and coordinates with other hospital departments and/or Physician staff to ensure quality care for all patients.

Job Summary

The Patient Access Specialist will ensure the quality of patient registrations by obtaining thorough and accurate information in a timely and efficient manner. The Patient Access Specialist interacts and coordinates with other hospital departments and/or Physician staff to ensure quality care for all patients.

Shift Summary

Second Shift 3p - 11:30p

Job Responsibilities

• Possess accuracy skills to ensures that all documents are properly signed and witnessed as required. Maintain and apply knowledge of current registration requirements.
• Advise and coordinate patient account information with other department staff, clinical staff and or UR/Case management. Ability to work well under pressure and remain calm while maintaining positive patient and physician relations.
• Recognize accounts that should be referred to management for assistance. Evaluate patient visits/registrations and make recommendations for corrections as needed.
• Calls insurance companies for precertification’s and authorizations. Serves as a patient resource in matters concerning up‑front collections based upon covered benefits and in accordance with hospital policy.
• Complete inventory and order specific supplies for department and keep supplies in proper storage areas so supplies and equipment are readily accessible
• Maintain compliance with EMTALA and HIPAA rules and regulations. The Specialist will interview the patient/guarantor to obtain complete demographic, clinical, billing, insurance, and financial information.
• The Patient Access Specialist will be trained to work all areas of Patient Registration and Switchboard daily operations. Responsible to train other Patient Access Associates in all duties.
• Must be able to perform other duties as assigned.
• SPECIFIC MEASURABLE OBJECTIVES FOR PATIENT ACCESS SPECIALIST INCLUDE: Must maintain an annual appraisal score of 2.0 or greater. Consistently, be able to register 40 patients per 8‑hour shift with the possibility of more than 40 if work load dictates. If working non‑patient registrations during this 8‑hour shift, consistently register around 60 per day. Each Specialist is expected to maintain a 3% or less weekly error rate.

Education Requirements

• Minimum: High School Diploma or equivalent.
• Preferred: High School Diploma and Certified HealthCare Access Associate (CHAA) Certification or national recognized PFS Certification

Experience Requirements

• Minimum: three (3) or more years of customer service or related experience.
• Preferred: Three (3) or more years experience in Patient Access Registration in an acute care hospital and/or physician office setting.

License/Certification Requirements

• Minimum: None

Education

Preferred

• GED or better in Other
• High School or better in Other

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.