Valor Health

Position Description

Position Title: Patient Access Specialist 

Department: Business Office/Clinics

Level I Supervisor’s Title: Revenue Cycle Manager/Clinic Managers

Level I – General Front Desk, Clinic or Hospital

A. Position Summary: Responsible for registering patients efficiently and accurately, greeting patients and visitors in person or by phone, and verifying insurance eligibility.

B. Principle Functions and Responsibilities:

• Registers all patients for both acute and ambulatory settings.
• Coordinates night quick admit registration from hardcopy form to permanent computer records.
• Monitors patient census and notifies appropriate Department Manager of admission status.
• Pre-registers any necessary patient accounts and maintains those preregister accounts by completing them after patient arrives or is discharged.
• Responsible for scanning all patient registration forms into electronic medical record system.
• Maintains standing orders for Laboratory patients.
• Receives notification of patient discharges from nursing station and enters discharges into computer.
• Collects and processes copays, deductibles, and co-insurance payments from patients via in-person or over the phone.
• Processes incoming mail and distributes to appropriate departments. For payments received via mail, logs patient account numbers on checks, and places remittance slips in the daily folder.
• Responsible for scanning patient insurance remits into appropriate file folders.
• Responsible for occasional duties of monitoring and organizing incoming faxes and print jobs related to the hospital-wide copy and fax machines.
• Maintains positive and effective relations with co-workers, other departments, patients, and visitors.
• Generates estimates of procedures/services/visits for patients.
• Attends meetings and completes assigned trainings as required.
• On occasion, may be required to work holidays, overtime, night or weekend shifts.
• Required to cross-train in all registration areas and will rotate to work a shift in each area at least once per quarter.
• Answers multi-line phones and/or serves as switchboard operator for all incoming calls; transfers to appropriate areas, when necessary.
• Validates prior authorization information from external providers.
• Notifies appropriate staff/department of patient arrival for STAT procedures or exams.
• Calls patients for appointment reminders for upcoming appointments (typically, next day appointments).
• Schedules patients according to provider scheduling preferences.
• May occasionally assist with registration audits and corrections.
• Performs other duties as assigned or requested.

C. Position Qualifications:

• Minimum Education: High school diploma or equivalent.
• Minimum Experience and Skills: Prior experience in a hospital business office or admitting office.
• Demonstrated proficiency in terms of computer-based word processing, spread sheet and database management. 
• Ability to operate a hospital-wide telephone switchboard. Data entry and customer service experience a plus.
• Certification, Registration or Licensure: None required

Physical Requirements (level I & II):

A. Sitting and working at a computer, walking,

B. Lifting, reaching, hand eye coordination, speaking.

C. Must be able to read, write, and speak English clearly.

Working Conditions (level I & II):

A. Primarily works in an office setting.

B. Potential exposure to patient elements in general.

C. Blood Borne Pathogens – potential exposure to blood, body fluids or tissues.