Specialist Patient Access

Job Summary and Responsibilities

Responsible for the scheduling of procedures for various departments with minimal phone wait times. Has the ability to manage multiple processes including phone, fax, walk-in appointments and computer systems. Ability to multi-task, think critically, problem-solve, move quickly between varying skill sets, and display consistent Humankindness throughout all interactions. Performs complex customer service duties, including but not limited to registration, scheduling, handling/processing inbound and outbound patient referrals, and telephone calls. This representative will handle information from referring physicians, potential patients, exiting patients and members of the community and internal clinical teams.

• Performs registration duties, scheduling functions in the EMR, processes inbound and outbound referrals.
• Ensures pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible.
• Verifies insurance eligibility/benefits and co-pay/deductibles and primary and secondary insurance. Enter correct primary and secondary insurances during scheduling process in the IDX system, directs non-insured patients to financial counselors.
• Obtains accurate patient demographics when registering and scheduling patient, exemplified by accurate spelling, correct abbreviations, punctuation and completeness.
• Obtains authorization/pre-certification from physician's office/insurance company for consults. Follows up on missing authorizations; if not obtained within 48-hours prior to service, contacts patient to advise them of their financial responsibility.
• Identifies any outstanding balance due, notifies patient during financial clearance process and requestspatient