Patient Access Specialist

Hospital for Special Surgery•West Palm Beach, FL

12d

About The Position

The Patient Access Specialist plays a crucial and highly visible role in the registration operations at HSS Florida, supporting the Orthopedics, Radiology and Physical Therapy departments. This position involves greeting and assisting patients, managing patient admissions, verifying insurance benefits, collecting payments, and ensuring compliance with managed care contracts. The specialist collaborates with interdisciplinary team members to manage patient flow, resolves inquiries and deliver exceptional customer service in a fast paced, patient centered environment.

Requirements

High School Diploma or equivalent (G.E.D.), may include specialized or vocational courses
Two years in a healthcare or related customer service field
Strong computer skills; with proficiency in MS Office Suite: Excel, Outlook, Word automated tools
Excellent written and verbal communication skills
Ability to multitask, prioritize and adapt in a face paced environment
Demonstrates initiative, sound judgment and resourcefulness
Knowledge of medical terminology and insurance guidelines
Team player with a positive and respectful attitude
Respect for patient confidentiality and sensitivity to diverse populations
Effective communicator with all levels of staff, patients, and customers
Ability to respond positively to fluctuations in patient flow
Exceptional customer service skills.
Superior written and oral communication skills
Ability to maintain a positive attitude towards assignments and others in a fast-paced environment
Capacity to multitask and prioritize in the ever-changing environment of healthcare
Ability to work collaboratively with others
Respect for information confidentiality
Ability to show initiative, good judgment, and resourcefulness
Familiarity with medical terminology, and insurance.

Nice To Haves

Associates
Knowledge of medical terminology
Self-directed, motivated, resourceful, demonstrates initiative
Experienced user of MS Office Suite applications: Word, Excel, Outlook

Responsibilities

Greet and assist patients and visitors upon arrival; conduct rounds as needed to ensure waiting area comfort.
Interview patients to accurately enter and update patient demographics, insurance and personal information.
Collect, verify, and scan legal IDs, insurance cards, signed consent forms, third party liability/workers’ compensation documents, and advance care plans
Explain financial responsibilities, obtain electronic and/or phone benefit verifications, coordinating benefits, and determine insurance coverage (participating vs. non-participating).
Collect co-payments and out-of-pocket payments at check-in and check-out and obtain waivers for non-covered services.
Monitor and resolve work queue encounters, registration checklists, and authorization status.
Answer incoming calls and make outgoing calls as needed to provide assistance or direct inquiries.
Respond to patient questions and triage to appropriate department as needed.
Ensure proper documentation in patient records.
Ensure compliance with HIPAA regulations and patient confidentiality standards.
Cross trained to staff and cover all Patient Access areas (e.g., Greeter, Registration, Physical Therapy).
Maintain a professional demeanor and business casual attire.
Responds to emails, and communications/ messages as soon as possible in a professional manner with compassion and understanding.
Perform other related duties incidental to the work described herein