SCH PATIENT ACCESS SPECIALISTS

Peoplefluent; St. Johns (MI); On-site; USD 25,000 - 29,000; Full time

Job summary

Sparrow Clinton Hospital in St. Johns, MI is seeking a Patient Access Representative to create a positive first impression for patients and families.

You will interview patients and accurately enter information into the Epic system, help with switchboard operations, and guide patients to the correct department. Responsibilities include collecting demographic and financial data, verifying insurance, and collecting copays.

Qualifications

• High school diploma or GED required.
• Minimum 6 months experience working with the public; healthcare setting preferred.
• Demonstrates excellent interpersonal and communication skills.
• Maintains strict adherence to patient confidentiality. Working knowledge of medical terminology preferred.
• Working knowledge of EPIC, Passport, and Microsoft Outlook applications preferred.
• Experience with insurance verification, benefits interpretation, and point of service collections preferred.

Responsibilities

• Interview patients to collect complete demographic and financial information for regulatory and billing purposes.
• Perform pre-registration, verify insurance, and collect copayments/deductibles.
• Enter patient data in EPIC system accurately and timely.
• Provide excellent customer service to patients and families with empathy.
• Verify insurance eligibility and benefits using electronic systems or phone.
• Educate patients on financial responsibility and collect payments when applicable.
• Coordinate with registration, scheduling, and related departments to obtain needed data.

Skills

Interpersonal skills

Communication skills

Confidentiality adherence

Medical terminology

Education

High School Diploma/GED

Tools

EPIC system

Passport

Microsoft Outlook

Insurance verification software

Job description

Job ID: 55456

Positions Location: St. Johns, MI

Description:

The Patient Access Representative is responsible for creating a positive impression for each patient and family member. Accurately interviews and enters all Sparrow patients into the iSparrow (Epic) System. Assists with switchboard operations as well as directing patients and visitors to the appropriate department.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Interview patients for the purpose of collecting complete and accurate confidential demographic and financial information to comply with regulatory agencies and billing requirements.
• Perform pre-registration, verification of insurance, and collecting copayments/deductibles.
• Patient Access Representatives are responsible for entering timely and accurate confidential patient information in compliance with hospital policies and Federal Regulations, such as HIPAA and EMTALA.
• Provide Excellent Customer Service to patients and families for individual needs, with empathy.
• Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration.
• Obtain signatures and information as required by regulatory agencies while in compliance with federal regulations such as HIPAA, EMTALA and Identity Theft (Red Flag) reporting.
• Verify insurance eligibility and covered benefits by using all electronic systems available to them or by phone.
• Educate the patient as to their financial responsibility. Collect prepayment for hospital services that are not covered by the patient’s insurance, including co-pays, deductibles, or good faith deposits.
• Operate multiple computer applications to register patients, schedule appointments, and retrieve surgical, testing, insurance, and financial information.
• Serve as a liaison with other departments e.g. Surgery Scheduling, Central Scheduling, Patient Support Services, Pre-service Patient Financial Services, physician office staff, etc., in order to obtain required data or to elevate issues as necessary.
• Work exception accounts held internally or rejected by payers for errors related to registration.
• Cross-train to support various Patient Access areas with minimal supervision.
• Supports continuous improvements and lean initiatives implemented in Patient Access Department.
• Facilitates effective utilization of all applications used in patient access procedures by providing occasional system support and education to other Caregivers.
• Assist with onboarding/training new staff.
• Screening Patients and Visitors for infectious disease upon entry into the hospital
• Other duties as assigned

Job Requirements

General Requirements None Work Experience Minimum of 6 months experience working with the public Experience working in a healthcare setting preferred Previous clerical experience preferred Education High school diploma or G.E.D. Specialized Knowledge and Skills Demonstrates excellent interpersonal and communication skills. Maintains strict adherence to patient confidentiality. Working knowledge of medical terminology preferred Working Knowledge of EPIC, Passport, and Microsoft Outlook applications preferred Working knowledge of insurance verification, benefit interpretation, and point of service collections preferred

University of Michigan Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

Job Family

Administrative/Clerical

Requirements:

Shift Nights Degree Type / Education Level High School / GED Status Full-time Facility Sparrow Clinton Hospital Experience Level New Grad