Altru Health System

Patient Access Specialist

Location
Crookston, MN
Salary
Join our team!
Posted
Apr 30, 2019
Ref
24705
Industry
Healthcare
Job Type
Long-Term
This position is located at Altru Clinic - Crookston, 30 miles east of Grand Forks, ND.

The Patient Access Specialist gathers necessary insurance and demographic information from patients. They use their expertise to translate the information provided by the patient/guarantor into the computer system with the result of an accurate claim submission. May be responsible for some or all of the following: insurance verification, prior authorization, pre-certification, referrals, second opinion management, insurance assignments and/or workers compensation authorizations.

ESSENTIAL JOB FUNCTIONS
Patient Access Specialist
  • Supports and models behaviors consistent with the mission, vision and values of Altru Health System.
  • Answers phone and provides excellent customer service.
  • Ensures and adheres to strict confidentiality when handling patient charts, records, and scheduling information.
  • Accurately registers patients into the EPIC system by collecting and recording demographic, insurance, financial, and clinical data in the computer system.
  • Records and collects necessary patient account documents.
  • Collects self-pay balances, pre-payment amounts, and co-pays per guidelines.
  • Interprets physician orders and referrals to determine service needs and schedule patient visits while coordinating appointments with other departments to meet the needs of the patient and provider.
  • Creates accounts for new patients and update accounts for previous patients to ensure accurate services and account processing.
  • Utilizes appropriate strategies to activate and/or verify the insurance coverage of patients and obtain benefit information such as co-payment, and co-insurance amounts
  • Maintains knowledge of and complies with third-party payers' requirements for verifying insurance information, obtaining authorizations/pre-certifications, and completing other activities to ensure services are billed and reimbursed appropriately.
  • Reviews Medicare accounts for completed MSPQ.
  • Modifies work schedule to meet department goals/deadlines and the needs of the department and patients.
  • Completes bed placements for patient admitted to the hospital. (Hospital positions only.)
  • Performs other duties as assigned or needed to meet the needs of the department/organization.

Required:

  • High school diploma or GED.
  • One year of applicable experience, preferably in healthcare or customer service environment.
  • Demonstrates proficient computer skills with a high degree of accuracy for a variety of computer-related tasks.
  • Must complete Orientation and Training courses upon hire, HBI Orientation Level I course within 60 days of hire, and HBI Orientation Level II courses by 1 st common review period.
  • Completes HBI medical terminology course within 6 months of hire.

Preferred:

  • Knowledge in medical terminology.
  • Past experience in a clerical health care setting.
  • Associate's or Bachelor's Degree from accredited institution