Patient Access Specialists are instrumental in ensuring the efficient and effective flow of patient access needs as well as initiating the revenue cycle throughout Billings Clinic. Responsible for providing excellence in customer service by greeting, registering and gathering appropriate information for clinical, patient financial services, regulatory and meaningful use. Included are appropriate demographic and insurance information, scheduling appointments, collection of co-payments and self-pay deposits and posting payments into the billing system. Position must fully understand the ramifications and impacts of incomplete or inaccurate information as it relates to clinical staff and the revenue cycle.
Essential Job Functions
GENERAL
•Supports and models behaviors consistent with Billings
Clinic’s mission, vision, values, code of business conduct and service
expectations. Meets all mandatory organizational and departmental requirements.
Maintains competency in all organizational, departmental and outside agency
standards as it relates to the environment, employee, patient safety or job
performance.
•Responsible for patients’ and guests first impressions
of Billings Clinic and clinical departments. Using best practices in customer
service by greeting patients, identifying and entering accurate patient specific
information to include demographics, guarantor information, subscriber and
insurance information. Responsible for initiating the revenue cycle for timely
billing and possible insurance follow up.
•Competently and courteously educates patients about various
forms that may require their signature. Forms may include but not be limited to
the following.
•Conditions of Service COS,
Notice to Medicare Beneficiaries on Provider Based literature, Notice of
Privacy Practices NOPP
•Patients’ Rights, Minor Consent
•Notice of Plan Limitations,
Medicaid Passport Notification of Responsibility
•Motor Vehicle Accident patient
screening
•My Billings Clinic, Workers
Compensation, System Downtime
•Validates insurance(s) using IntelliSource and analyzes
electronic responses ensuring appropriate set-ups, which may be dependent upon
State where services are to be rendered.
•Coordinates with patients, internal and external
providers, nursing staff to ensure Medicaid Passport authorizations are
obtained and entered.
•Schedules and coordinates appointments in a manner that
meets the patient’s needs and each individual provider’s scheduling protocols
for the various appointment types, lengths of appointments and any
pre-appointment requirements. May instruct patients on specific preparations
and/or restrictions necessary to prepare for ancillary procedures as defined by
clinical protocols.
•Provides in-person marketing for Billings Clinic’s
patient portal. Explains functionality of the portal and sends electronic
invitations to patients for access and establishment of their connection.
Should understand that portal sign-up and usage is directly tied to Billings
Clinic’s ability to receive additional Government funding.
•Initiates collection of copayments and deposits in
accordance with each patient’s individual insurance or self-pay requirements.
Accepts cash, checks and credit cards and payroll deductions. Accepts payments
on accounts. Maintains operating cash and collections and balancing to on-line
records, daily.
•Posts all payments directly onto patients’ accounts
within the revenue cycle system. Ensures payment to Billings Clinic for credit
and debit card transactions by obtaining electronic authorizations at the time
of payment collection.
•May schedule ancillary services. May instruct patients
on specific preparations and/or restrictions necessary to prepare for ancillary
procedures. May involve other departments as needed for regulatory
requirements.
•Reviews and analyzes AccuReg edits and completes
corrections in accordance with AccuReg worklists daily.
•Performs other duties as assigned or needed to meet the
needs of the department/organization.