Patient Access Specialist - Dillon 7pm-7am

Socket.dev; Dillon (SC); On-site; USD 38,000 - 52,000; Full time

Job summary

McLeod Health in Dillon, SC seeks a Patient Access Specialist for the 7pm-7am shift. You will collect patient information, verify insurance, and enter data into the EHR while ensuring HIPAA compliance. The role includes scheduling, patient liaison duties, and promoting MyChart usage.

Excellent interpersonal skills and healthcare or medical office experience are required; familiarity with a fast-paced, KPI-driven environment is a plus.

Qualifications

• Strong interpersonal and communication skills required.
• Advanced knowledge of Windows computer systems and Microsoft Office products.
• Prior healthcare, medical office, or insurance experience required.
• If applicable, minimum 2 years experience in call center environment preferred.

Responsibilities

• Obtain patient information for records, billing, and payer needs.
• Enter accurate patient information into the electronic health record (EHR) ensuring HIPAA compliance.
• Schedule, re-schedule, and cancel appointments in the EHR as requested.
• Verify insurance eligibility and explain patient liability to patients.
• Create a transparent financial experience, including estimates and collecting prepayments or outstanding balances.
• Lead and mentor Patient Access staff as a preceptor/mentor for the Revenue Cycle Shadowing program.

Skills

Interpersonal communication skills

Windows proficiency

Healthcare experience

Call center experience

Education

HS diploma/GED

Tools

Windows OS

Microsoft Office

Job description

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Role summary

McLeod Health is seeking a Patient Access Specialist for their Dillon location, working 7pm-7am. This role involves obtaining patient information for records, billing, and payer needs, entering data into the EHR, maintaining HIPAA compliance, scheduling appointments, verifying insurance, explaining patient liability, collecting payments, and resolving work queue items. The specialist will also serve as a preceptor/mentor for other staff, promote patient portal engagement, and identify process improvement opportunities. Requires strong interpersonal and communication skills, advanced knowledge of Windows and Microsoft Office, and prior healthcare, medical office, or insurance experience. Preferred experience in a call center environment.

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. Requires a high level of public contact and excellent interpersonal skills.

Ability to work in a fast paced metric driven environment that is patient centered.

Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs. Enters accurate patient information into the electronic health record.

Maintains confidentiality of patient information and complies with HIPAA regulations

Correctly transcribes and validates patient orders.

Schedule, re-schedule, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.

Verifies and correctly assigns insurance coverages based on eligibility responses.

Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or on outstanding balances.

Monitors, resolves, and assigns work queue items to Patient Access team to ensure timely resolution.

Serves as a preceptor for the Revenue Cycle Shadowing program.

Serves as a preceptor/mentor for Patient Access Representatives and assists with patient escalations.

Advocates for patient portal (MyChart) engagement and activates upon patient request. Assists patients with navigation and troubleshooting in MyChart.

Thorough understanding of KPI’s and thresholds to measure productivity. Identifies areas of opportunity to increase productivity and improve KPI’s. Assists with wayfinding and connecting patient to care. 16. Identifies process opportunities and participates in department improvement initiatives. Performs all other duties as assigned.

Qualifications/Training:

• Successfully mastered the role of Patient Access Representative (Level I)
• Strong interpersonal and communication skills
• Advanced knowledge of Windows computer system, including Microsoft Office products
• Prior healthcare, medical office, or insurance experience required
• If applicable, minimum 2 years experience in call center environment, preferred
• Strong attention to detail while demonstrating ability to problem-solve

Additional Requirements:

• Meets or exceeds departmental goals
• Does not have more than four (4) unapproved occurrences in a rolling twelve-month period
• If applicable, must pass department competency test and complete all required department training

Licenses/Certifications/Registrations/Education:

• HS diploma/GED from an accredited school preferred

Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. Requires a high level of public contact and excellent interpersonal skills.

Ability to work in a fast paced metric driven environment that is patient centered.

Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs. Enters accurate patient information into the electronic health record.

Maintains confidentiality of patient information and complies with HIPAA regulations

Correctly transcribes and validates patient orders.

Schedule, re-schedule, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.

Verifies and correctly assigns insurance coverages based on eligibility responses.

Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or on outstanding balances.

Monitors, resolves, and assigns work queue items to Patient Access team to ensure timely resolution.

Serves as a preceptor for the Revenue Cycle Shadowing program.

Serves as a preceptor/mentor for Patient Access Representatives and assists with patient escalations.

Advocates for patient portal (MyChart) engagement and activates upon patient request. Assists patients with navigation and troubleshooting in MyChart.

Thorough understanding of KPI’s and thresholds to measure productivity. Identifies areas of opportunity to increase productivity and improve KPI’s. Assists with wayfinding and connecting patient to care. 16. Identifies process opportunities and participates in department improvement initiatives. Performs all other duties as assigned.

Qualifications/Training:

• Successfully mastered the role of Patient Access Representative (Level I)
• Strong interpersonal and communication skills
• Advanced knowledge of Windows computer system, including Microsoft Office products
• Prior healthcare, medical office, or insurance experience required
• If applicable, minimum 2 years experience in call center environment, preferred
• Strong attention to detail while demonstrating ability to problem-solve

Additional Requirements:

• Meets or exceeds departmental goals
• Does not have more than four (4) unapproved occurrences in a rolling twelve-month period
• If applicable, must pass department competency test and complete all required department training

Licenses/Certifications/Registrations/Education:

• HS diploma/GED from an accredited school preferred

Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.

About McLeod Health

McLeod Health is a private, non-profit healthcare system serving northeastern South Carolina and southeastern North Carolina. It operates multiple hospitals, physician practices, and various healthcare facilities, providing comprehensive medical services including emergency care, specialty treatments, and community health programs.

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