Patient Access Specialist - Clinic

POSITION PURPOSE

• A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ management.

MINIMUM EDUCATION REQUIRED

• High School or GED

MINIMUM EXPERIENCE REQUIRED

• 6 months – 1 year

LICENSES / CERTIFICATIONS REQUIRED

• Formal education beyond high school in Business or Healthcare or equivalent experience preferred.

KNOWLEDGE, SKILLS & ABILITIES REQUIRED

• Experience in a health care business or receptionist environment.

• Excellent computer and customer services skills.

• Knowledge of medical terminology; ICD-10, CPT and HCPCS codes and use.

• Familiarity with internet, email and Microsoft office.

• Effective written and verbal communication skills required.

• Demonstrates ability to efficiently organize work, while maintaining a high level of accuracy and productivity

• Experience in patient registration, insurance verification and health insurance plans.

PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES

• Schedules, reschedules and cancels patient appointments

• Executes pre-arrival registration by adhering to registration standards

• Accurately identifies and enters patient’s insurance coverage

• Performs check-in/check-out functions for patient appointments

• Collects all applicable copays, patient balances, pre-payments and self-pay payments for services

• Manages and resolves assigned departmental WQs

• Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team

• Performs manage care referrals and prior-authorizations functions

• Proficient use of healthcare software utilizing established standards