Patient Access Specialist - Clinic - Froedtert South, Inc.

• POSITION PURPOSE
  • A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ management.
• MINIMUM EDUCATION REQUIRED
  • High School or GED
• MINIMUM EXPERIENCE REQUIRED
  • 6 months – 1 year
• LICENSES / CERTIFICATIONS REQUIRED
  • Formal education beyond high school in Business or Healthcare or equivalent experience preferred.
• KNOWLEDGE, SKILLS & ABILITIES REQUIRED
  • Experience in a health care business or receptionist environment.
  • Excellent computer and customer services skills.
  • Knowledge of medical terminology; ICD-10, CPT and HCPCS codes and use.
  • Familiarity with internet, email and Microsoft office.
  • Effective written and verbal communication skills required.
  • Demonstrates ability to efficiently organize work, while maintaining a high level of accuracy and productivity
  • Experience in patient registration, insurance verification and health insurance plans.
• PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
  • Schedules, reschedules and cancels patient appointments
  • Executes pre-arrival registration by adhering to registration standards
  • Accurately identifies and enters patient’s insurance coverage
  • Performs check-in/check-out functions for patient appointments
  • Collects all applicable copays, patient balances, pre-payments and self-pay payments for services
  • Manages and resolves assigned departmental WQs
  • Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team
  • Performs manage care referrals and prior-authorizations functions
  • Proficient use of healthcare software utilizing established standards

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