Patient Access Specialist I
Bayhealth, Dover, DE, United States
Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand‑alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton.
Position
Patient Access Specialist I
Location
Kent Campus Hospital
Status
Full Time 80 Hours
Shift
Day / Evening
Salary Range
17.40 – 26.10 Hourly
General Summary
Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process, including point of service payments, and provides payment estimates for out‑of‑pocket costs. In this role, the PAS I is assigned to one department/location. The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one‑year patient registration experience in the assigned department is required for consideration for PAS II.
Responsibilities
Customer Service; meet the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.
Timely and precise completion of each registration, following all department processes and procedures. Must verify all demographic and insurance information is accurate; utilize Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secure patient signatures for required forms.
Enter data related to procedures, tests, and diagnoses (when applicable). Determine the need for medical necessity and follow the advanced beneficiary notice process when appropriate based on pre‑established guidelines.
Obtain and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
Identify the patient using two‑factor identification. Comply with EMTALA regulation when creating the quick registration account (when applicable).
Ensure authorizations (pre‑certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
As appropriate, complete Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to co‑payments, deductibles, co‑insurance, deposit amounts and outstanding balances. Document payments/actions in the EHR and provide the patient with a payment estimate (when applicable). Follow cash drawer balancing procedures, as appropriate, reconcile payments against deposit totals.
Review and resolve account errors in assigned work queues.
Maintain qualitative and quantitative individual and team performance targets.
Respond to disaster and mass casualty situations in a calm and appropriate fashion. Maintain and understand the emergency management processes and procedures specific to that unit.
Adhere to department and system policies. Interact with co‑workers, visitors, and other staff consistent with the Bayhealth values.
Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
Patient flow (as applicable) – maintain efficient patient flow in the registration and check‑in process. Accurately complete reception duties in accordance with policies.
All other duties as assigned within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience
Education: High School Diploma or GED.
Credential(s): None Required.
Experience: One (1) year in a customer service role.
Preferred
Experience in healthcare or medical office environment. Knowledge of medical terminology.
Preferred Education, Credential(s) and Experience
Education: Associate Degree, Business Administration or related field.
Credential(s): N/A.
Experience: (details not specified).
Benefits
Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Voluntary Benefits to include Critical Care Coverage and more.
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Position
Patient Access Specialist I
Location
Kent Campus Hospital
Status
Full Time 80 Hours
Shift
Day / Evening
Salary Range
17.40 – 26.10 Hourly
General Summary
Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process, including point of service payments, and provides payment estimates for out‑of‑pocket costs. In this role, the PAS I is assigned to one department/location. The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one‑year patient registration experience in the assigned department is required for consideration for PAS II.
Responsibilities
Customer Service; meet the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.
Timely and precise completion of each registration, following all department processes and procedures. Must verify all demographic and insurance information is accurate; utilize Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secure patient signatures for required forms.
Enter data related to procedures, tests, and diagnoses (when applicable). Determine the need for medical necessity and follow the advanced beneficiary notice process when appropriate based on pre‑established guidelines.
Obtain and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
Identify the patient using two‑factor identification. Comply with EMTALA regulation when creating the quick registration account (when applicable).
Ensure authorizations (pre‑certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
As appropriate, complete Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to co‑payments, deductibles, co‑insurance, deposit amounts and outstanding balances. Document payments/actions in the EHR and provide the patient with a payment estimate (when applicable). Follow cash drawer balancing procedures, as appropriate, reconcile payments against deposit totals.
Review and resolve account errors in assigned work queues.
Maintain qualitative and quantitative individual and team performance targets.
Respond to disaster and mass casualty situations in a calm and appropriate fashion. Maintain and understand the emergency management processes and procedures specific to that unit.
Adhere to department and system policies. Interact with co‑workers, visitors, and other staff consistent with the Bayhealth values.
Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
Patient flow (as applicable) – maintain efficient patient flow in the registration and check‑in process. Accurately complete reception duties in accordance with policies.
All other duties as assigned within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience
Education: High School Diploma or GED.
Credential(s): None Required.
Experience: One (1) year in a customer service role.
Preferred
Experience in healthcare or medical office environment. Knowledge of medical terminology.
Preferred Education, Credential(s) and Experience
Education: Associate Degree, Business Administration or related field.
Credential(s): N/A.
Experience: (details not specified).
Benefits
Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Voluntary Benefits to include Critical Care Coverage and more.
#J-18808-Ljbffr