Patient Access Specialist, Full-Time, (Plano-Coit)

Surgery Partners, Inc; Plano (TX); On-site; USD 33,000 - 52,000; Full time

Job summary

Surgery Partners, Inc. in Plano, TX is seeking a Patient Access specialist in the Physical Therapy department to ensure accurate and timely data capture for registrations, insurance verification, prior authorizations, and billing.

The role includes check-in procedures, calculating estimated patient liability, scheduling evaluations, and maintaining compliance with payor requirements while delivering patient-focused service.

Qualifications

• High School Diploma with 1 year in healthcare setting.
• Knowledge of clinic policies and procedures.
• Proficient in MS Office applications (Outlook, Word, Excel, and PowerPoint).
• Able to multitask.
• Knowledge of computer systems and medical terminology.

Responsibilities

• Conduct and document patient interviews to obtain demographic, insurance and financial information for registration, insurance verification, prior authorization, and billing.
• Perform check-in procedures and understand patient flow processes.
• Verifies patient insurance eligibility for coverage and appropriate benefit levels for ordered services.
• Calculates, discusses, and collects estimated patient financial liability according to financial clearance policies.
• Schedules patients for evaluation and treatment per provider guidelines.
• Adheres to compliance policies and procedures regarding order validation, financial and cash policies, compliance forms, government and commercial payor requirements and regulations, and patient safety requirements for appropriate patient identification.

Skills

Healthcare setting experience

Multitasking

Clinic policies

Computer systems

Medical terminology

MS Office (Outlook/Word/Excel/PP)

Education

High School Diploma

Tools

MS Office Suite

Job description

General Summary Of Duties

This position will ensure all Patient Access functions within the Physical Therapy department are completed accurately and timely for proper operation of management reports and cash flow.

General Summary Of Duties

This position will ensure all Patient Access functions within the Physical Therapy department are completed accurately and timely for proper operation of management reports and cash flow.

Requirements

• High School Diploma, with 1 year experience in healthcare setting
• Knowledge of clinic policies and procedures
• Knowledge of computer systems, programs
• Knowledge of medical terminology
• Must be able to multitask
• Proficient in MS Office applications which include Outlook, Word, Excel, and PowerPoint

Essential Functions

• Conduct and document patient interviews to obtain demographic, insurance and financial information for registration, insurance verification, prior authorization, and billing.
• Performing check-in procedures and knows patient flow processes.
• Verifies patient insurance eligibility for coverage and appropriate benefit levels for ordered services.
• Calculates, discusses, and collects estimated patient financial liability according to financial clearance policies.
• Schedules patients for evaluation and treatment per provider guidelines.
• Adheres to compliance policies and procedures regarding order validation, financial and cash policies, compliance forms, government and commercial payor requirements and regulations, and patient safety requirements for appropriate patient identification.
• All other duties as assigned.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
• The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
• The employee must be able to stand and/or walk at least 5 hours per day and work at a computer for extended periods of time

Work Enviornment

• Normal busy office environment with much telephone work and with direct patient contact. Occasional evening or weekend work.
• This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.