Patient Access Specialist Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).Education High School Graduate or Equivalent Billing and Coding Certification preferred Experience / QualificationsBLS certification through the American Heart Association for Healthcare Providers. Experience required in using EMR systems, insurance verification, eligibility, and electronic billing. Requires general and specific knowledge of health insurance plans and interpretation of health insurance benefits. Ability to maintain confidentiality. Experience in a customer support role. Medical terminology knowledge. Proficient skills in computer applications such as Microsoft Office. Ability to set priorities and manage time effectively. Flexible, service oriented, and dedicated. Exceptional communication skills both verbally and in writing. Superior organizational skills, attention to detail, and able to multi-task. Strong interpersonal skills, listening and ability to carefully follow directions.
Position Summary:
The Patient Access Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence.
The Patient Access Specialist is responsible for obtaining demographic, insurance, and medical information to ensure an accurate and complete registration.
Performing insurance verification, data collection and documentation.
Maintains proper documentation in all systems.
Identifying patient financial responsibilities and collecting applicable monies.
Acting as liaison to all internal and external customers to facilitate access to hospital services.
Secures all necessary documentation to register the patient's visit. Process authorizations electronically, utilizing payer portals, fax, or telephone working with the payers to secure authorizations.
Works cooperatively and provides coverage for responsibilities of co-workers when assigned or as need arises.
Answers telephone, responds to questions, directs calls, and documents messages.
Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.
Maintains the confidentially of patient's records and any related work.
Effectively communicate needs of Physicians and staff in requirements of documentation for proper reimbursement.
Checks for data errors and uses them as examples for educating team members.
Adhere to contractual requirements of Medicare, Medicaid, and managed care plans.
Run daily update and insurance exception reports.
Complete all end of day responsibilities.
Performs other duties as assigned.
Team Member Competencies
Establishing Relationships:
Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.
Peer Support:
Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
Inspiring and Motivating Others:
Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.
Demonstrating Emotional Intelligence:
Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills. Acting with Integrity Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments. Being a Champion for Change and Innovation Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.
Communicating Effectively:
Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.
Promoting Diversity and Inclusion:
Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge's bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.
Physical Requirements:
Requires sitting for long periods of time, also stooping, bending, standing, and stretching. Must have manual dexterity for typing and computer data entry. Able to work under a stressful environment, work independently, capable of making sound decisions, be detail oriented, alert, and self-motivated. Ability to push/pull up to 40lbs., carry and lift up to 20lbs. Threshold Requirements These threshold requirements are required and completed yearly basis Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientationTB/PPD Surveillance Program Maintenance of required professional licensing and/or certification(s).This is not necessarily an extensive list of all responsibilities, skills, duties, requirements, or working conditions associates with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or require that other or different tasks be performed when circumstances change. I have reviewed these job requirements and verify that I can perform all essential functions of this position.
