Patient Access Specialist- Outpatient Infusion, Full Time

Company: North Mississippi Medical Center
Location: Tupelo
Posted on: May 16, 2022

Job Description:

Registration & Discharge:

• Serves as registration access point resource for all patient-facing interactions regarding admission and discharge processes.
• Initiates pre-registration process and guides patient through critical steps of verification, managed care resolutions, payment transparencies and ultimately financial clearance.
• Verifies patient identity upon arrival, then initiates activation of record to be accessed through multiple clinical systems.
• Obtains crucial confidential patient identification information including patient records, signatures and payment information repeatedly and ensures HIPAA guidelines are enforced when such information is obtained.
• Responsible for verification of insurance coverage for medical necessity screenings.
• Held accountable for processing unscheduled patients and managing patient schedules across all departments.
• Effectively communicates NMHS' organizational revenue cycle and financial policies including estimates, charity plans and payment options to patients and patient representatives.
  • Coordinates strategy for patient flow, denial prevention, and cash collections
  • Provides financial counselling to patients and/or patient representatives to manage balances owed
  • Identifies trends and reports issues which are significant and recurring along with possible solutions to the Director of Patient Access
  • Obtains consent forms, insurance and other pertinent confidential patient information to ensure accurate medical record data entry to be reviewed by Joint Commission and CMS
  • Holds primary obligation to other departments to enter information timely to ensure efficient patient procedural flow & proper access of patient account in EMR by other departments in order to correctly identify patient, apply armbands, provide consent form and privacy acknowledgement for clinical chart
  • Processes edits including Case Management task list (maintaining correct status of patient ie, inpatient, observation, etc.)
    Patient Account/Data Entry:
    • Apply codes in the patient accounting system when appropriate to ensure an accurate financial record
    • Provides input and help design action plans in conjunction with leadership to identify and resolve payer and patient information related denials.
    • Provide comprehensive data such as emergency contacts, email addresses for Patient Portal, correct data for state and government reporting.
    • Enters accommodation code for Room charges or hourly charges are based on the accommodation code entered by Access staff.
    • Daily maintenance of data edits to correct or add data which include clinical data, financial data, patient survey data, medical record data, etc.
      Billing:
      • Familiarity with payer eligibilities and ability to communicate that information to various NMHS staff
      • Ensure optimization of revenue and cash flow through collection of accurate, concise payer and patient information
      • Responsible for daily cash collections, deposits and reconciliation as assigned.
      • Works collaboratively with Health Care Foundation to assist patients in obtaining and funding COBRA coverage.
      • Recognizes patient eligibility for Medicaid and charity coverage processes and initiate appropriate application.
      • Work collaboratively with third party payors to resolve billing issues and impact timely and appropriate payment
      • Professionally and effectively communicates with third party carriers, vendors, patients, and hospital contacts to promote revenue cycle efficiency
      • Contacts insurance companies and patients regarding eligibility and payments
      • Serves as liaison between patients and insurance companies to resolve eligibility issues-Serves as liaison between third party payors and patients to effectively communicate financial clearance information.
      • Takes corrective action through systematic and procedural development to reduce or eliminate payment issues and delays.Job Knowledge
        • High school diploma or equivalent required.
        • 1 year experience in related field required.
        • Ability to research, analyze, and communicate eligibility trends to identify opportunities and training issues; required
        • Must complete appropriate PAS training curriculum within timeframe defined by Revenue Cycle Leadership annually.
        • Excellent analytical and problem-solving skills; required
        • Must possess strong organizational and interpersonal skills.
        • Experience in Microsoft Office, Outlook, Third Party Payer websites; preferred
        • Ability to adapt to everchanging and unpredictable work environment; required
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Keywords: North Mississippi Medical Center, Oxford , Patient Access Specialist- Outpatient Infusion, Full Time, Other , Tupelo, Mississippi