Patient Access Specialist — Intake & Insurance

St Joseph Hospital; United States; On-site; USD 35,000 - 52,000; Full time

Job summary

CommonSpirit Health is seeking a Patient Access Representative to manage the patient intake process in our clinic. You will interact with patients in person and by phone, facilitate check-in/out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations.

The role requires understanding of billing, insurance terminology and medical terminology, with a focus on delivering a seamless, high-quality patient intake experience and providing

Qualifications

• Strong customer service skills and professional communication.
• Knowledge of insurance terminology, billing practices and medical terminology.
• Ability to work with diverse patient populations and handle sensitive information.

Responsibilities

• Assembles all data and documents required for complete patient registration, including, pre-admission, admission, pre-registration and registration functions; completes all insurance verifications and authorizations.
• Enters all patient demographic information; uses department applications for eligibility and authorization.
• Assesses patient financial responsibility and collects co-pays and deductibles at time of admission.
• Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered.
• Obtains and documents funding information from patients and provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned.
• Uses payer resources and website to explore and assess eligibility; initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

Skills

Customer service

Insurance knowledge

Billing terminology

Education

High school diploma or GED

Job description

CommonSpirit Health is seeking a Patient Access Representative to manage the patient intake process in our clinic. You will interact with patients in person and by phone, facilitate check-in/out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations.

The role requires understanding of billing, insurance terminology and medical terminology, with a focus on delivering a seamless, high-quality patient intake experience and providing