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Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.
Responsibilities
- Practices Patients First philosophy and high standards of customer service, fostering a team atmosphere.
- Responds to questions and concerns.
- Notifies Team Lead or Operations Coordinator of extraordinary issues.
- Maintains patient confidentiality per HIPAA regulations.
- Provides exceptional customer service to establish a positive first impression.
- Exceeds consumer requests and escalates issues when necessary.
- Accurately collects and verifies patient demographic information.
- Interacts with hospital departments and physicians to schedule and direct patients effectively.
- Schedules appointments and performs medical necessity checks.
- Informs patients of issues with financial accounts and completes out-of-pocket estimations.
- Provides training and education as needed.
- Manages work schedule efficiently and completes tasks on time.
- Performs other duties as assigned by the manager.
- Participates in cross-training for departmental coverage.
- Participates in Quality Assurance reviews.
- Uses service recovery skills to solve problems.
- Follows department policies and procedures.
- Ensures patient safety and financial security.
Communication And Collaboration
- Provides information regarding physician referrals, insurance, and consultations.
- Collects authorization numbers in systems.
- Fosters a professional communication environment and resolves operational issues.
- Attends intra/interdepartmental meetings.
- Communicates customer satisfaction issues.
- Demonstrates teamwork and respects diverse opinions.
- Supports internal customers and accommodates communication abilities.
Technology
- Uses online systems to verify orders and insurance eligibility.
- Notes instructions and notes in Epic.
- Uses computer applications efficiently.
- Performs real-time insurance eligibility verification.
- Sends clear and descriptive Epic Messages/Telephone encounters.
Efficiency, Process Improvement, And Business Growth
- Prevents issues by double-checking tests, preps, and documentation.
- Ensures complete registration with accurate data.
- Understands quality metrics and analyzes account activity.
- Suggests process improvements and participates in quality activities.
- Monitors registration and scheduling within standards.
- Adjusts processes as needed and shares workflow information.
- Adapts to schedule changes and evolving healthcare policies.
EOE including Disabled and Veterans.
Qualifications
Required:
- High School diploma or equivalent.
- 2-3 years customer service or medical office experience.
- Excellent interpersonal, verbal, and written communication skills.
- Proficiency in data-entry and typing.
- Ability to read, write, and communicate effectively in English.
- Basic computer skills and ability to type 40 wpm.
- Ability to multi-task and be customer service oriented.
- Strong organizational, time management, analytical, and problem-solving skills.
Preferred:
- Additional education and language skills.
- Experience in healthcare finance and insurance.
- Knowledge of patient scheduling and registration in healthcare settings.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate on any protected basis.
Benefits
Offers a wide range of benefits to support employee well-being. Visit our Benefits section for more information.