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.

SITE(S)

Physician Clinics

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.

SUPERVISES

N/A

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