Patient Access Specialist I

Parrish Medical Center; Titusville (FL); On-site; USD 34,000 - 48,000; Full time

Benefits offered by this job

Health Insurance

403(b) Retirement Program

Tuition Reimbursement/Educational

EAP & Flexible Spending

Personal Leave Bank

Job summary

Parrish Medical Center in Titusville, FL is seeking a Patient Access Specialist I who reports to the Patient Access Manager. The role performs scheduling and authorization duties, interviews patients to collect demographic, insurance and clinical information for entry into the EMR, and coordinates with providers as needed.

Knowledge of scheduling and authorization processes for common carriers is preferred.

Qualifications

• High School Diploma or GED required.
• No experience required; 1 to 2 years of related experience preferred.

Responsibilities

• Interviews patients to obtain all pertinent demographic, insurance, and clinical information for entry into EMR.
• Performs scheduling or authorization duties; contacts providers as needed.
• Ensures information is accurate and complete; verifies policies and procedures.
• Answers calls and schedules appointments while maintaining professional customer service.
• Maintains compliance with HIPAA, EMTALA and related regulations.
• Works with physician offices and departments to forward relevant documents.
• Attends trainings and adheres to department policies and timelines.

Skills

Customer service

Data entry

Communication skills

EMR systems

HIPAA knowledge

Education

High school diploma

Tools

EMR software

Job description

Department: Patient Access

Schedule/Status:

Varies: Full Time

Standard Hours/Week:

40

General Description:

This position reports to the Patient Access Manager and/or Supervisor. The Patient Access Specialist I - is responsible for promoting and demonstrating Parrish Healthcare’s Culture of Choice®; Performs Scheduling or Authorization duties. Interviews patients to obtain all pertinent demographic, insurance, and clinical information for entry into EMR. Contact providers as needed. Is knowledgeable in the scheduling and authorization processes for common insurance carriers for services performed in hospital and clinic locations. The position shall exemplify the desired Culture of Choice® and philosophies of Parrish Healthcare

Key Responsibilities:

• All interactions are conducted in a professional manner, following H.E.A.R.T. guidelines, to provide exemplary Customer Service.
• Data obtained and entered in the system is accurate and free of errors and is complete.
• All processes requiring verification/signatures/authorizations are completed in a timely and accurate manner. Understand/explain policies regarding services, medical necessities, and scheduling and authorization processes.
• Obtain or create copies of necessary supporting documentation and ensure they are saved according to policy.
• Work with physician offices and ancillary departments, providing information when necessary or forwarding relevant documents.
• Answer incoming calls in a timely and professional manner and meet the number of completed interactions currently established for the department.
• Make outgoing calls to patients and providers as needed to schedule appointments and/or obtain updated/corrected order information; and meet the number of completed interactions currently established by the department.
• All duties are conducted as per standard operating policies or generally accepted practices, meeting or exceeding performance expectations, and completing work within the required timeframe.
• Attends in-service presentations and completes mandatory education Successfully complete annual net learning modules and other assigned classes by established deadlines.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.
• Follow EMTALA, HIPAA and other regulatory guidelines.
• Proactively identify problems and issues within the department and the hospital and inform department leader.
• Performs similar or related duties as assigned.
• Knows fire, disaster and safety procedures and regulations as it pertains to the work area.

Formal Education:

• High School Diploma or GED required.

Work Experience:

• No experience required; 1 to 2 years of related experience preferred.

Required Licenses, Certifications, Registrations:

• N/A

Full Time Benefits:

Eligible to participate in a number of PMC-sponsored benefits, including:

• Benefits Start on Day 1
• Health, Dental and Vision Insurance
• 403(b) Retirement Program
• Tuition Reimbursement/Educational Assistance
• EAP, Flex Spending, Accident, Critical and Other Applicable Benefits
• Annual Accrual of 152 Personal Leave Bank (PLB) Hours