Job Description

The Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and community-based behavioral support services. Broadlawns accepts all forms of insurance and its approach to healthcare and quality outcomes earned a Level 3 rating from the National Committee for Quality Assurance, the highest achievable status for a medical delivery model.

We are a safety net hospital and our Patients are our North Star! With a dedicated staff of over 160 physicians and 1,600 employees, Broadlawns Medical Center ensures that our community has access to high quality healthcare that is coordinated, compassionate and cost-effective. We provide our employees a top-rated benefits package, supportive work culture, and more!

Patient Access Specialist

GENERAL DESCRIPTION

Under the supervision of the Patient Access Manager; the Patient Access Specialist is responsible for performing the Patient Access function including registration of patients, rating appropriate financial class, obtaining appropriate insurance information and scheduling patient appointments while maintaining department quality standards. Specialist is also responsible for symptom and temperature screenings of hospital visitors.

CHARACTERISTICS DUTIES

• Screens hospital visitors for symptoms and temperature to ensure the health and safety of BMC staff and visitors.
• Assists hospital visitors with questions and directs them to clinic/service location.
• Reviews and update patient accounts to ensure BMC has accurate and current information to process claims and obtain payment.
• Refers all non-funded patients to Financial Counseling Department as appropriate.
• Reviews eligibility to determine required referrals and pre-certifications.
• When appropriate obtains referrals and pre-certifications notifies departments when payer has not approved.
• Identifies potential problems, actively searches for solutions and continually provides input to team regarding ideas and recommendations.
• Informs patient of financial responsibility.
• Collects patient payments under cash collection policy.
• Expands working knowledge of assigned job and various other aspects within the Patient Access Department.
• Initiates pre-registration process and conducts interviews for all patients with a third party payer source; and reviews eligibility to determine required referrals and pre-certifications.
• Documents all information along with treatment authorization into Patient Accounting system. Performs other duties as assigned by supervisor.

PERFORMANCE STANDARDS

• Demonstrates ability to direct visitors according to the Entrance Screening Protocol.
• Accurately screens visitors with appropriate questions and use of thermometer.
• Maintains a minimum of 98% accuracy in the Meditech system.
• Ensures 100% of inpatient admissions are verified for benefits coverage within one day of admission.
• Ensures orders are completed and received before scheduling and registration process occurs 100% of the time.
• Demonstrates strong interpersonal and persuasive abilities in order to establish and maintain a positive relationship with Patient Access staff, patients and patient families, third party payors, government agencies, fiscal intermediaries, utilization review and providers.

MINIMUM QUALIFICATIONS

• One year clerical experience.
• Experience utilizing computers in work environment.
• Working knowledge of Microsoft Office.
• Excellent written and verbal communication skills

Work Shift

7a-4:30p (United States of America)

Broadlawns Medical Center is an Equal Opportunity Employer