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 (work queue) management.
SITE(S)
MINIMUM EDUCATION REQUIRED
MINIMUM EXPERIENCE REQUIRED
LICENSES / CERTIFICATIONS REQUIRED
- Formal education beyond high school in Business or Healthcare or equivalent experience preferred.
SUPERVISES
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 manages care referrals and prior-authorizations functions
- Proficient use of healthcare software utilizing established standards