WVU Medicine

Academic health system

Patient Access Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeMorgantown, WV, USANo salary listedIn-person

About the Job

Requirements

High school diploma or equivalent.
Experience in a medical office setting is preferred.
Ability to accurately use applicable computer software and equipment for access processing and follow computer downtime procedures.
Knowledge of procedures for reporting or documenting unsafe or hazardous conditions, incidents, and defective equipment in compliance with hospital policy.
Ability to perform repetitive duties throughout the shift.
Attention to detail, organization, and ability to perform multiple tasks simultaneously.
Ability to memorize relevant information or reference written sources or appropriate personnel.
Ability to understand medical insurance payment requirements and basic knowledge of covered services.
Ability to work with people with varied personalities, education levels, capabilities, and communication skills.
Ability to use tact and diplomacy when dealing with physicians, patients, and families.
Strong written and verbal communication skills.
Ability to understand written and oral communication.
Ability to meet the physical demands of the role, including frequent movement and lifting as specified, normal visual acuity, manual dexterity to operate business equipment, and capacity to move through the work and clinic areas and sit or stand for extended periods.
Ability to perform assigned tasks despite frequent interruptions, work in a confined office space under fluorescent lighting, maintain concentration amid office machinery noise, and work in a high-volume, fast-paced environment with exposure to communicable disease and daily interaction with patients and medical and support staff.
Availability to work varied shifts in a department operating 24/7 and participate in a rotating holiday schedule.

Responsibilities

Greet and receive patients into the health care facility.
Accurately and promptly process patient demographic and insurance information.
Communicate with and support hospital departments using the scheduling system as appropriate.
Obtain electronic signatures for consent to treat and patient financial obligations.
Obtain demographic, billing, and insurance information from patients, family members, or legal guardians; enter it into registration and billing systems for service and claim processing; and scan insurance cards and photo identification.
Complete managed care responsibilities related to obtaining pre-certification and authorizations as needed.
Prepare standard consent forms, notices of privacy practices, and other required registration paperwork; present them to patients, family members, or legal guardians for signature; and obtain electronic signatures for consent to treat and patient financial obligations.
Collect deposits, co-payments, deductibles, and patient liability payments when applicable; provide receipts and document payments in registration and billing systems.
Direct patients seeking financial assistance to a Financial Counselor.
Prepare patient identification armbands.
Balance daily receipts and the cash drawer for patient payments as needed.
Follow up on accounts as indicated by system flags, including courtesy dismissal, comments, and red stickers.
Initiate auto accident liability coverage as needed; identify patients involved in auto accidents, obtain relevant medical or no-fault liability information, and document it in registration and billing systems.
Initiate end-stage renal disease screening as needed; identify ESRD patients, obtain information about coverage by SSI, and document it in registration and billing systems.
Initiate Veterans Administration eligibility screening as needed; identify VA-eligible patients, coordinate admission or treatment with the VA, and document it in registration and billing systems.
Initiate Black Lung SSI screening as needed; identify patients covered under Black Lung and document the information in registration and billing systems.
Initiate Workers' Compensation screening as needed; identify patients seeking treatment for work-related injuries, assist with appropriate paperwork, and document it in registration and billing systems.
Initiate the Medicare Secondary Payer Questionnaire, obtain the required information, and document it in the registration and billing system.
Maintain confidentiality under policy and HIPAA when interacting with patients, physicians, families, co-workers, and the public regarding demographic, clinical, and financial information.
Provide patients with information about insurance, bill payment, and hospital procedures, and maintain current knowledge of major payer payment provisions.
Perform medical necessity checks and complete Advanced Beneficiary Notices as needed.
Answer phone calls professionally and courteously and use the phone system correctly.
Schedule, reschedule, or cancel patients according to hospital workflows.
Check that orders are complete and validate orders against scheduled services.
Follow hospital, state, and federal guidelines for a safe environment for workers, patients, and the public, and ensure staff compliance with hospital, governmental, and insurance regulations.
Comply with Notices of Privacy Practices and Patients' Rights and Responsibilities and cooperate with the WVUH Corporate Compliance Program during employment.
Interact with clients, families, visitors, physicians, departmental and hospital staff, and the public professionally and with concern for their needs.
Participate in assessing and improving services and compliance with regulatory requirements, and report assessment and improvement results to appropriate administrative levels.

Desired Qualifications

Associate degree in a related medical field, such as medical assisting or medical office administration.
Basic knowledge of medical terminology.
Basic knowledge of third-party payers.
General knowledge of time-of-service collection procedures.

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Greets and receives patients into the health care facility. Responsible for accurate and timely processing of patient demographics and insurance information. Communicates and supports hospital departments using scheduling system as appropriate. Obtains electronic signature for consent to treat and patient financial obligation. Provides excellent customer service and uses strong written/verbal communication skills. This position is the first impression of WVU Healthcare to the patient.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associate degree in a related medical field such as medical assisting or medical office administration.

EXPERIENCE:

1. Experience in a medical office setting.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.

2. May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.

3. Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.

4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.

5. Directs patients needing financial assistance to speak with a Financial Counselor.

6. Prepares armband for patient identification.

7. Balances daily receipts and cash drawer for patient payments as needed.

8. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).

9. May initiate auto accident liability coverage. Identifies all patients involved in an auto accident and obtains all pertinent information regarding medical or non-fault liability and documents in registration/billing systems.

10. May initiate ERSD (end stage renal disease) screening. Identifies ESRD patients and obtains all pertinent information regarding coverage by SSI and documents in the registration/billing systems.

11. May initiate Veterans Administration eligibility screening. Identifies all VA eligible patients and coordinated admission/treatment with VA and documents in the registration/billing systems.

12. May initiate Black Lung SSI screening. Identifies all patients covered under Black Lung and documents in the registration/billing systems.

13. May initiate Workers Compensation screening. Accurately identifies all patients seeking treatment for work related injuries. Assists in completion of appropriate paperwork and documents in the registration/billing systems.

14. Initiates MSPQ (Medicare secondary payer questionnaire). Obtains all information regarding MSPQ. Documents in registration/billing system all information required on the MSPQ.

15. Maintains confidentiality according to policy and HIPAA when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information

16. Provides to the patient, information concerning insurance, payment of bills and hospital procedures. Consistently maintains current knowledge of major payer payment provisions.

17. Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.

18. Answers phone calls in a professional and courteous manner. Uses phone system in correct manner.

19. Schedules, reschedules, or cancels patients in accordance with hospital workflows.

20. Checks for order completeness and validate order against scheduled service.

21. Communicates with and supports hospital departments using the scheduling system.

22. Follows hospital, state, and federal guidelines for ensuring safe environment for workers, patients, and the public. Ensures compliance by staff to hospital, governmental, and insurance regulations.

23. Complies with Notices of Privacy Practices, and the Patient’s Rights and Responsibilities and cooperate with the WVUH Corporate Compliance Program during employment.

24. Communicates and interacts with clients, families, visitors, physicians, departmental, and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals’ need(s).

25. Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results of assessments and improvement processes to the appropriate administrative levels.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift.

2. Visual acuity must be within normal range.

3. Must be able to exert in excess of 50 pounds of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

4. Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.

5. Must have the ability to move throughout the work area and clinic area.

6. Must be able to sit or stand for extended periods of time.

8. Must have reading and comprehension ability.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be capable of performing assigned task despite frequent interruptions.

2. Must be capable of working within a confined office space and under fluorescent lighting.

3. Must have ability to maintain concentration in and around noise from office machinery such as a copier or printer.

4. High volume, fast paced environment.

5. Exposure to communicable disease.

6. Interacts with patients, medical staff, and support staff daily on a continual basis.

SKILLS AND ABILITIES:

1. Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.

2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.

3. Requires ability to perform repetitious duties throughout the shift.

4. Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.

5. Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel.

6. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.

7. Must be able to work with a variety of personality types and interact with individuals with various levels of education, capabilities and communication skills.

8. Must demonstrate ability to use tact and diplomacy in dealing with physicians, patients, and families.

9. Excellent communication skills (written and verbal).

10. Basic knowledge of medical terminology preferred.

11. Basic knowledge of third party payers preferred.

12. General knowledge of time of service collection procedures preferred.

13. Demonstrates ability to follow established computer downtime procedures.

14. Ability to understand written and oral communication.

Additional Job Description:

The department operates 24/7, and all staff participate in a rotating holiday schedule.

Scheduled Weekly Hours:

Shift:

Varied (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

WVUH West Virginia University Hospitals

Cost Center:

4545 WVUH CH Pediatrics Patient Access

Address:

1 Medical Center DriveMorgantownWest Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

About the Company

WVU Medicine

Academic health system

WVUMedicine is an academic health system serving West Virginia and the surrounding region. The system operates hospitals, clinics, specialty programs, emergency care, research, and medical education through an integrated network. It serves patients, families, referring clinicians, students, researchers, and regional communities. Its operating model centers on clinical care, hospital operations, ambulatory services, education, research, and shared system support. Teams work across nursing, physicians, allied health, research, technology, facilities, administration, and patient services. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.

Company size: Not listed
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: Not listed

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