Urgent Care Patient Access Specialist (PT)

Oswego Health; Fulton (MO); On-site; USD 2,241,000 - 2,689,000; Part time

Job summary

Oswego Health in Fulton, MO is seeking a Patient Access Representative for part-time hours at the Urgent Care site. You will collect demographic and insurance information for preregistration and registration to support prompt billing.

Responsibilities include verifying benefits, processing authorizations, data entry, and maintaining compliant patient records. The role requires strong communication, multitasking, and familiarity with EMR systems, with flexibility for weekend/holiday shifts.

Qualifications

• High school diploma or GED required.
• Clerical and computer knowledge, including data entry, and ability to type 35 WPM required.
• Experience in customer service with strong communication skill required.
• 1 year experience in a customer service and/or medical office setting with knowledge of Medicare, Medicaid and other contract payers preferred.
• Familiarity or experience with Advance Beneficiary Notice, precertification, ICD10 coding, and/or CPT codes preferred.

Responsibilities

• Communicate with physician offices, staff, multiple service areas, and patients to obtain demographic and insurance information for preregistration and registration on all patients for prompt and accurate patient billing.
• Perform third party verification and payer eligibility requirements with knowledge of payer requirements, including No Fault and Workers Compensation Claims
• Initiate service authorizations for services requested from practitioners. Record pertinent data for B/AR and Case Management use.
• Complete forms using medical terminology, seeking assistance or using resources when necessary, to ensure accurate documentation of patient visit complaints and admission diagnosis descriptions.
• Follow physician entry procedures, including but not limited to, Doctor Other, multiple locations, and address changes.
• Interview patient and/or guarantor to obtain and process accurate and complete patient information. Obtain appropriate signatures on required forms.
• Scan required patient information, insurance and state ID cards, Advanced Directives, and other registration forms; receive notices of service requisitions from providers; record pertinent data for claims submission.
• Provide patients with all required notices, including but not limited to HIPAA, Health Care Proxy, and Patient Bill of Rights.
• Complete daily, weekly, monthly tasks in a timely manner, inclusive of but not limited to financial support activities and designated department and organization competencies.
• Complete and process forms, including but not limited to, Medicare questionnaire and service authorizations.
• Perform outpatient, scheduled, and pre-registered patient registrations; Discharge patients when needed.
• Work on multiple electronic systems to identify online orders or other patient appointments.
• Collect cash, credit card or other forms of payments; perform discounts as appropriate. Open and close cashiering windows and balance payments.
• Export images as needed to CD’s; film/image sign out and release.
• Adhere to Accounting of Disclosures for patient record requests.
• Complete all competencies for the scheduled or covered area, including Surgical Center, Emergency Department, Lab and Radiology Registration, Urgent Care.
• Process incoming and outgoing mail per policy and instruction.
• Respond to administrative calls and/or complaints
• Operate Switchboard by taking incoming calls and transferring calls, maintaining positive tone.
• Respond to third party visitors.
• Perform order entry of radiologic tests.
• Follow code entry and ABN requirements per CMS guidelines
• Review orders/requisitions and diagnosis to ensure compliance and legality of order. Perform quality measures including correct diagnosis code, correct scheduled study, authorization requirements, provider entry, and other forms of quality procedures.
• Perform electronic ordering registration procedures, including courier procedures.
• Correctly identify patient scheduled appointments, visits and other patient types.
• Perform downtime procedures according to policy and procedure.
• Ensure accurate registration and compliance using all resources and education provided.
• Maintain knowledge of emergency codes and safety measures.
• Maintain knowledge of direct and transferred admissions as well as outpatient registration procedures.
• Ensures all work areas are adequately stocked with supplies to provide quality services.
• Perform other duties as assigned.

Skills

PC/CRT data entry

Interpersonal skills

Verbal & written communication

Multi-tasking

Professionalism

Medical terminology familiarity

Education

High school diploma or GED

Tools

EMR

Microsoft Office

Job description

Oswego Health in Fulton, MO is seeking a Patient Access Representative for part-time hours at the Urgent Care site. You will collect demographic and insurance information for preregistration and registration to support prompt billing.

Responsibilities include verifying benefits, processing authorizations, data entry, and maintaining compliant patient records. The role requires strong communication, multitasking, and familiarity with EMR systems, with flexibility for weekend/holiday shifts.