[Hiring] Patient Access Specialist II @Children's Health

Role Description

Responsible for the provision of complex patient access activity for all ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction.

• Performs complex registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol.
• Performs complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol.
• Resolves complex patient issues, responds to questions on reimbursement and serves as a resource to patient access specialists as needed, including on-the-job training.
• Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values.
• Possesses the ability to interpret and demonstrates compliance with performance standards, regulations and policies and procedures and third party contracts, guidelines.
• Provides significant input for and assistance with the implementation of team-oriented process improvement initiatives for the department and organization.

Qualifications

• At least 2 years customer service experience with two years of healthcare experience including Patient Access operations activities required.
• At least 2 years of Insurance prior authorization experience required.
• High school diploma or equivalent required.
• Two-year Associate's degree or equivalent experience required.

Requirements

• National Association of Healthcare Access Management CHAA Certification preferred.
• Healthcare Financial Management Association CRCR Certification preferred.