Access Specialist-Inbound Call Center - Full-time

Description:  The DSRIP Access Specialist is responsible for revenue cycle functions of scheduling, pre-registration, registration, and referrals management to ensure patient care is expedited and reimbursement is maximized for multiple clinic sites and the call center.

Typical Duties

1. In a complex multi-clinic, multi – discipline environment, delivers a high quality patient experience through inbound and outbound call resolution within established protocols.
2. Appropriately mitigates issues, assists patients with needs and /or questions in a timely manner using AIDET principles.
3. Interviews and updates the patient's demographics, insurance, by phone or in person in a respectful, professional, accurate and efficient manner, obtaining all necessary demographic, financial and clinical information required to facilitate timely registration and billing.
4. Understands the concepts of insurance and has the ability to assists guarantors with questions related to the complexities of the healthcare reimbursement process and ensures proper coverage is in place to support scheduled service.
5. Utilizes critical thinking skills to determine if escalation is required to resolve individual patient situations and help identify trends requiring management intervention.  Takes ownership and accountability to ensure issues presented on the call are handled effectively.
6. Maintains, coordinate and provide high level scheduling support for the Network utilizing the template format designed for each service area/physician and ensures referrals, pre-authorizations, pre-certifications have been accurately obtained as required by the patient's payer.
7. Coordinates all diagnostic and ancillary scheduling; schedules appointments, selecting appropriate referral, provider, visit type and location to expedite patient access to care, minimize no shows and maximize reimbursement.
8. Performs, organizes, and streamlines operational task to reduce the potential for errors.
9. Assists Out of Network patients with financial questions and escalates to the appropriate party.
10. Provides information regarding services and provides additional assistance.
11. Identifies existing Medial Record Number (MRN) or creates new MRN, taking care to avoid duplicates and overlays in accordance with National Patient Safety Goals.
12. Maintains productivity levels, with minimal errors, as established by department and Network standards.
13. Reviews and confirms patients financial information, informs patients of their financial obligations, assesses need for financial assistance and refers to financial screening if needed.
14. Provides training/guidance to staff and assistance with non-routine or complex tasks.
15. Performs other related duties as assigned.

Qualifications:
Required Education and Experience:

• High School Diploma, GED, or equivalent.
• 1 plus year of experience using Microsoft Professional Office Suite including, Word, Excel and Outlook.
• 1 plus year of experience using Epic Cadence, ADT or Prelude or other scheduling/registration software.
• 2 plus years of experience in patient registration or healthcare call center environment.

Preferred Education and Experience:

• Associates degree in a related field of study from an accredited college or university.

Required Licensure/Certification/Specialized Training:

• Completion of 90 day and annual competency-based registration knowledge and skills assessments.
• Completion of competency-based revenue cycle assessment within one year of employment.

Preferred Licensure/Certification/Specialized Training:

• Certified Healthcare Access Associate (CHAA) credential through the National Association of Healthcare Access Management (NAHAM).

JPS Health Network provides outstanding compassionate care to Tarrant County residents which translates into over 1.8 million patient encounters each year. With more than 6,500 team members, JPS is dedicated to making lives better in the community it serves.