Patient Access Specialist I

Bayhealth; Milford (DE); On-site; USD 24,000 - 36,000; Full time

Job summary

Bayhealth Sussex Campus Hospital is seeking a Patient Access Specialist I (PAS I) for the Night shift. This full-time, 80-hour role handles patient registration, insurance verification, and at-service payments in a fast-paced hospital setting.

Requires a High School Diploma or GED and at least one year of customer service experience; healthcare experience and medical terminology knowledge are preferred. The position contributes to accurate admissions and revenue cycle processes.

Qualifications

• One year in a customer service role.
• Preferred: healthcare or medical office experience.
• Knowledge of medical terminology.

Responsibilities

• Register patients and verify demographic and insurance information including eligibility.
• Handle point-of-service payments and co-pay collections; document in EHR.
• Assist with appointment scheduling and referrals as needed.
• Verify physician orders for tests and procedures to ensure accuracy.
• Follow EMTALA and CMS-related processes as applicable.

Skills

Customer service

Education

High School Diploma or GED

Tools

Epic

Job description

Patient Access Specialist I(Job Id 17685)

Location: Sussex Campus Hospital

Status: Full Time 80 Hours

Shift: Nights

SALARY RANGE:17.40 - 26.10 HOURLY

Description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays


• Matching 401(k)/403(b) Plans


• Excellent Health, Dental, and Vision


• Disability and Life Insurance options


• On Site Child Care


• Educational Reimbursement


• Health Care and Dependent Care Flex Spending Accounts


• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

General Summary

Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process including point of service payments. Provides payment estimates for out-of-pocket costs. In this role the PAS I is assigned to one department/location.

The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one-year patient registration experience in the assigned department is required for consideration for PAS II.

Responsibilities

• 1. Customer Service; meets the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.


• 2. Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secures patient signatures for required forms.


• 3. Enter data related to procedures, tests, and diagnoses (when applicable). Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines.


• 4. Obtains and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.


• 5. Identify the patient using two factor identification. Complies with EMTALA regulation when creating the quick registration account (when applicable).


• 6. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.


• 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.


• 8. Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their co-payments, deductibles, co-insurance, deposit amounts and outstanding balances. Documents payments/actions in the EHR and provides the patient with a payment estimate (when applicable). Follows cash drawer balancing procedures, as appropriate, reconciles payments against deposit totals.


• 9. Review and resolve account errors in assigned work queues.


• 10. Maintain qualitative and quantitative individual and team performance targets.


• 11. Responds to disaster and mass casualty situations in a calm and appropriate fashion. Maintains and understands the emergency management processes and procedures specific to that unit.


• 12. Adheres to department and system policies. Interact with co-workers, visitors, and other staff consistent with the Bayhealth values.


• 13. Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.


• 14. Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process. Accurately complete reception duties in accordance with policies.


• 15. All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience

• Education: High School Diploma or GED
  ;
  ;
  


• Credential(s): None Required
  ;
  


• Experience:

  Required: One (1) year in a customer service role.
  

  Preferred:Experience in healthcare or medical office environment. Knowledge of medical terminology.

Preferred Education, Credential(s) and Experience

• Education: Associate Degree
  Associate Degree
  Business Administration
  Related field
  


• Credential(s):


• Experience:

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