Patient Access Specialist I PRN

2510 Cobb Hospital, Inc.; United States; Sur place; USD 22 000 - 30 000; Temps partiel

Résumé du poste

Wellstar Health System in Georgia is seeking a Patient Access Specialist I (PRN). This role welcomes patients, interviews to collect demographic, financial, and insurance details, and performs registration to support accurate billing and scheduling.

Responsibilities include verifying benefits, explaining financial policies, assisting with pre-certifications, and maintaining confidential patient records with care and professionalism.

Qualifications

• High School Diploma or GED required.
• Minimum 2 years of related experience in healthcare or institutional setting.
• Strong data entry and computer skills; proficient in patient registration systems and Microsoft Office.

Responsabilités

• Interview patients to obtain complete demographic, financial and insurance information.
• Register patient information and verify insurance coverage.
• Provide friendly customer service and direct patients to the right departments.
• Explain financial policies and collect estimated self-pay balances.

Connaissances

Data entry

Communicati on skills

Healthcare knowledge

Formation

High School Diploma / GED

Outils

Microsoft Office

Description du poste

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift Day (United States of America) Patient Access Specialist I PRN as needed Non Benefited The Patient Access PRN Specialist I position works on an “as needed” basis and typically less than 16 hours per week. Position may be scheduled at PAS departments and locations not considered “home” facility to support business needs. Once scheduling availability has been established between the candidate and leadership, If unavailable for “as needed” shifts three consecutive occurrences, the team member may be notified of release from the PRN roster. This job is typically the first point of contact and must ensure a pleasant experience for patients and visitors. Interviews patients and/or their representatives to obtain complete and accurate demographic, financial and insurance information, required for billing and collecting patient accounts. Conducts intensive screening of all Medicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility, prior to registration. Obtains all necessary customer consents/attestations. Coordinates the collection of all estimated patient liabilities, including co-payments and unmet deductibles. Verifies insurance benefits and coverage for inpatients and outpatients. Responds to customer requests and answers questions regarding various service and account information. Analyzes and rectifies customer concerns using established procedures. Uses computer to access and/or update customer records. Verifies and posts transactions. Follows established procedures for processing receipts, cash etc. Sorts and files various documents. Assists with general hospital information and directions to departments within and outside of the WHS facility. Establishes financial arrangements to reduce financial risk for WHS, helping to ensure that WellStar is reimbursed for its services.

Core Responsibilities and Essential Functions:

• Receives requests for reservations (patient scheduling) from physicians offices and makes the necessary pre-admission arrangements, referring to lists of dates allotted for scheduling, and advising physicians office staff of unavailable dates.
• Interviews each patient or representatives to obtain complete and accurate demographic, financial and insurance information.
• Enters all patient information into the registration system.
• Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by the patients third party payer.
• Reads physicians orders to determine the procedures requested and to instruct patients accordingly.
• Escorts or arranges to have patient escorted to procedure areas and assigned rooms.
• Makes corrections and updates patient account information in computer.
• Obtains new medical record numbers for newborn admissions and other new patients.
• Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances, clarifying special billing processes.
• Maintains a working knowledge of available information system capabilities and performs all system applications that are required.
• Understands and applies WHS philosophy and objectives, and PAS policies and procedures, as re-lated to assigned duties. Understands the admission, outpatient and emergency registration process.
• Maintains confidentiality of patient information, in accordance with WHS policy and HIPPA regulations.
• Consistently demonstrates the ability to organize work, recognizes and establishes appropriate work priorities, and completes work in a productive manner, without creating backlogs.
• Maintains proficiency in data entry skills.
• Assists physicians and their office staff to expedite scheduling, pre-admission, Medicaid screening and pre-certifications on all accounts.
• Resolves error and applicable Claim, DNB, and Patient WorkQueues.

Customer Service

• Greets all guest with a positive and professional attitude.
• Receives patients valuables for safekeeping in the hospital safe.
• Answers incoming phone calls and follows through with requests made.
• Maintains courteous and cooperative working relationships with WHS management, patients, physicians, other professional contacts, and the general public. Demonstrates ability to tactfully handle difficult situations.
• Present a well-groomed and professional image in coordination with dept/ hospital dress codes.

Expected Performance, Behaviors and Results:

• The WellStar Experience (Must demonstrate a commitment to Service Excellence by):
• Creating first impressions, memorable moments and impressions that fulfill the expressed and unexpressed wishes and needs of patients and family members.
• Valuing patients and family members as partners in their care.
• Having world-class processes in place.
• Delivering high-touch care that is reliable, responsive and coordinated.
• Focusing on constant innovation and creating improvements.
• Celebrating our diversity with sensitivity and understanding.
• Embracing the idea that we are all owners of our health system.

Budget/Financial

• Attempts to collect the estimated self-pay balance of all inpatient, outpatient and ER accounts, at the earliest possible collection control point.
• Monitors in-house accounts and attempts to make financial arrangements with guarantors for payment of their self-pay balances in full, prior to discharge, or within ten working days thereafter.
• Completes financial evaluation forms to document guarantors' income, expenses, assets and liabilities.
• Identifies those patients without adequate insurance coverage. Makes personal contact with patient or guarantor to determine guarantor's ability to pay non-covered charges, as well as to determine potential eligibility for financial assistance programs (namely Medicaid).
• Maintains a list of health care financial assistance programs and the eligibility requirements for each program.
• Refers patients/guarantors to sources of outside funding assistance, as needed.
• Works efficiently and accurately within designated time frames to ensure a continuity of information and cash flow.
• Contacts scheduled patients at home to obtain pre-admission information, explain financial policies, estimate self-pay balances, and obtain a promise to pay on or before admission/registration.
• Interviews all inpatients and select (self-pay) outpatients at time of registration, or at least within 24 hours of admission, to verify complete insurance and financial information, explain financial policies, and collect the estimated self-pay balance.
• Documents concise and understandable notes regarding all self-pay account collection activity, as well as each patient or guarantor interaction. Documents all efforts to collect patient account balances, other self-pay collection activities and referrals to Medicaid.
• Coordinates financial counseling activities with Admitting, Outpatient Registration, Emergency Registration, Utilization Review, Nursing, Social Services, and Patient Financial Services.
• Verifies insurance coverage and benefits.
• Exceeds monthly quota on a consistent basis. Formally reports results of self-pay collection activity to direct supervisor, on a daily basis or according to policy. Provides feedback to PAS management concerning self-pay collection and data integrity issues.
• Responsible for completion of appropriate error/issues in WorkQueues.
• Identifies and resolves Payor Denials as indicated.

General

• Observes work hours and provides proper notice of absences, tardies work schedule changes.
• Attends select departmental meetings at the request of WHS Management.
• Completes monthly, quarterly, and annual mandatory training as required.
• Performs other duties as assigned. Performs other duties as assigned.
• Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

• High School Diploma / GED
• General or Associates Other / Related Field-Preferred

Required Minimum Experience:

• Minimum 2 years of related experience, in a healthcare or institutional work setting.

Required Minimum Skills:

• Computer/data entry experience.
• Ability to communicate with various members of the healthcare team.
• Effective communication skills (both written and verbal), attention to detail, self-directed and a positive attitude are essential.
• Working knowledge of patient registration systems and intermediate Microsoft Office Suite are preferred.

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems. Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.

Mission, Vision & Values

At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients’ and team members’ expectations, while transforming healthcare delivery.

OUR MISSION:

To enhance the health and well-being of every person we serve.

OUR VISION:

Deliver world-class healthcare to every person, every time.

OUR VALUES:

• We serve with compassion
• We pursue excellence
• We honor every voice

Culture of Excellence Wellstar consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of Wellstar as a Great Place to Work.