Specialist Patient Access

Thank you for considering a career at Roper St. Francis Healthcare!

Scheduled Weekly Hours:

0.01

Work Shift:

Days/Evenings (United States of America)

PRN

Job Summary:

The Purpose of the Patient Access Specialist is to provide excellence in customer service, patients are greeted and logged into tracking software.  Gathers appropriate information from patients or responsible parties in order to completely register and identify financial liabilities. Collect patient financial liabilities and provide receipts to patients.  May perform patient pre-admission, registration, room assignment/transfer, and other related required tasks for patient throughput and patient care. Assist with transporting of patients to their scheduled area. Provide financial guidance to patients/families, RSFH staff, insurance providers, physicians, and/or physician office staff etc. which may include providing explanations of insurance benefits, financial assistance, and self-pay billing. Performs quality self checks using software to prevent billing, identification, or other registration issues that could cause a loss of revenue. May assist in preparing documentation regarding quality, customer service, and other organizational initiatives.

Minimum Qualifications:

Education:  Requires High School diploma or equivalent.

Experience:  At least 6 months customer service work experience required. 

Licensure/Certification:  N/A

Primary Source Verification (if applicable): N/A

Knowledge/Skills:  Basic computer skills required. PC and Windows experience required. Good organizational skills. Excellent verbal/written communication and interpersonal skills to effectively deal with customers and staff. Ability to diplomatically and respectfully deal with customers (both in person and via telephone). Ability to effectively handle multiple priorities and deadlines. May require a working knowledge of medical terminology. Ability to maintain the confidentiality of sensitive information. Requires the use of general office equipment including, but not limited to: computer, calculator, fax machine, printer, copier etc.

Other: Competent and proficient with patient information systems (ADT) and willingness to work at various registration sites as needed is required for positions in the Access dept.  Employees in patient access may be required to work weekends and holidays as scheduled by their manager. Employees in Access may be asked to cover outside their normally scheduled hours and location to maintain the around the clock coverage needed to provide for safe patient care.  Staff will be scheduled for call duty.  Staff should be knowledgeable in all registration functions including outpatient, emergency room, inpatient, and specimen registration types to fulfill on call duties.

Contacts: 

Constant contact with patients, visitors, general public, and/or healthcare employees (including staff, co-workers, physicians, insurance providers, and vendors). Must be able to interact professionally and diplomatically with all of the above.

Work Demands/Environment:

Frequent sitting, walking, standing, stooping, bending. May require lifting or moving items up to 25 lbs. May require pushing or pulling over 50 lbs (wheelchair/carts etc.).  Frequent use of finger/hand dexterity. Constant talking or hearing. Corrected hearing and vision to normal range. Possible exposure to blood, body fluids or tissue. Possible exposure to infectious materials, odors, communicable diseases and/or other conditions common to a healthcare environment. Requires work under stressful conditions, deadlines, and/or irregular hours.

JOB DUTIES AND RESPONSIBILITIES                                                                                      % OF TIME

 1. Patient Intake: Greet patient using AIDET and excellent customer service. Check patient into the correct tracking solution for the presenting department.  Answer multiple phone lines and research order issues for regulatory compliance. File PHI and other documentation for patients. Review the scheduling system to assist patients. Provide parking tickets and provide direction to patients, visitors, and guests of Roper Saint Francis Healthcare

20%

 2. Financial: Meet and discuss bills/billing issues with patients; calculate patients’ financial liability and inform patient during interview; collect appropriate out of pocket patient expenses and consistently document financial collections and attempts.  If appropriate, refer patient/account to appropriate financial assistance/benefits counselors.) and correctly bill patient.  Promptly submit collected funds to appropriate person/area/safe, etc.  Reconciliation of petty cash daily and immediate reporting to management of discrepancies.

20%

 3. Data Entry: Performs a full patient interview and captures all required patient demographics as outlined by CMS and other regulatory and reporting agencies.  Identification of active insurance coverage, primary care provider relationships and emergency contacts are essential to the patient interview.  Utilizing established systems, verifies all entered information is accurate with minimal denial and/or delays in the billing process while meting quality standards.

20%

 4 Registrations: Perform registrations in a timely manner providing for safe patient care.  Identification of STAT patients within the ER and the timely notification to clinical department.  This includes, but is not limited to, STEMI’s, Hot/Cold Stokes, Labor and Delivery, and STAT patients.  Emergency department staff must monitor the ER clinical computer system for patient admissions; patients arriving via rescue services needing immediate registration, and patients whose medical screenings are completed so that a full bedside registration can be completed following EMTALA guidelines.  Transports patients as needed to scheduled procedure areas.

20%

 5. Compliance: Makes available to patients required information including patient handbooks, notice of privacy practice, and financial assistance/501r.  Captures regulatory information including MSP capture, Medicare and Tricare admission/observation forms.  Monitors and reports Master Patient Index issues to the medical records team for correction. Properly stores and discards protected patient health information including all registration documents and financial information. Reports all breaches of HIPPA and EMTALA compliance following defined processes. Reports patient and teammate safety events via MARSH Clearsight.                                                                                                

10%

6. Maintains current knowledge of insurance, local, state and federal requirements and registration updates and/or registration information. Completes all required learning and CBL modules timely.

10%

Performs other job duties and responsibilities as required.

Roper St. Francis Healthcare is an equal opportunity employer. 

As a Roper St. Francis Healthcare teammate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

SS Revenue Cycle Acute - Roper St Francis Healthcare

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected].