Patient Access Specialist (Part-Time) - Seacoast

Responsibilities:
1. Job responsibilities include those listed in competency document.

2. Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. Requires a high level of public contact and excellent interpersonal skills.

3. Ability to work in a fast paced metric driven environment that is patient centered.

4. Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs. Enters accurate patient information into the electronic health record.

5. Maintains confidentiality of patient information and complies with HIPAA regulations

6. Correctly transcribes and validates patient orders.

7. Schedule, re-schedule, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.

8. Verifies and correctly assigns insurance coverages based on eligibility responses.

9. Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or on outstanding balances.

10. Monitors, resolves, and assigns work queue items to Patient Access team to ensure timely resolution.

11. Serves as a preceptor for the Revenue Cycle Shadowing program.

12. Serves as a preceptor/mentor for Patient Access Representatives and assists with patient escalations.

13. Advocates for patient portal (MyChart) engagement and activates upon patient request. Assists patients with navigation and troubleshooting in MyChart.

14. Thorough understanding of KPI’s and thresholds to measure productivity. Identifies areas of opportunity to increase productivity and improve KPI’s.

15. Assists with wayfinding and connecting patient to care.

16. Identifies process opportunities and participates in department improvement initiatives.

17. Performs all other duties as assigned including but not limited to:

1. Analyzes patients’ financial obligations prior to date of service to create a transparent financial experience including generation of an estimate preservice, explains patient liability, collects prepayments and outstanding balances. Special attention should be applied to patients with a high self-pay balance, high liability for services, self-pay patients, as well as patients with non-covered services.
2. Demonstrates a strong understanding of the Financial Clearance Policy and the ability to apply in appropriate scenarios.
3. Verifies and completes insurance benefit collection using current eligibility vendors or other available online tools; verify by telephone when online resources are exhausted.
4. Completes and balances daily deposits for assigned areas.
5. Collects down payments and secures satisfactory payment arrangements consistently to maximize cash flow.
6. Provide financial counseling to include explanation of coverage/insurance benefits, how benefits relate to estimated patient liability and information on all account balances.
7. Assists patients (walk-in and telephone) with questions and concerns regarding patient account balances. Assists patients with billing issues and refers additional information to the appropriate Patient Account Representative or Manager. 

Qualifications:
Successfully mastered the role of Patient Access Representative (Level I) 
Strong interpersonal and communication skills 
Advanced knowledge of Windows computer system, including Microsoft Office products 
Prior healthcare, medical office, or insurance experience required 
If applicable, minimum two years of experience in call center environment, preferred 
Strong attention to detail while demonstrating ability to problem-solve