Patient Access Specialist

• 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 (work queue) management.

SITE(S)

• Hospital(s)

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 manages care referrals and prior-authorizations functions
• Proficient use of healthcare software utilizing established standards

PI259809905