About this role
UPPER VALLEY MEDICAL CENTER
LEAD PATIENT ACCESS SPECIALIST
10AM TO 6:30PM FLEX, FLOAT, INCLUDES WEEKENDS, HOLIDAYS
FULL TIME / 80 HOURS PER PAY
SIGN ON BONUS ELIGIBLE
This position will be under the supervision of the Access Supervisor/Manager. This Lead Patient Access Specialist will maintain open communication with the Supervisor/Manager on issues, opportunities, and situations involving areas of Access Services. This position must respond and relate to the Supervisor/Manager and team as well as internal and external customers of Patient Access Services. This position is responsible for cross-training staff members as well as cross-training for other positions in the event of unforeseen circumstances. In addition, this position will ensure quality customer satisfaction; assist with audits and goals for the department.
The Lead Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements.
The Lead Patient Access Specialist must demonstrate Customer Focus (15) and expert Functional/Technical skills (24) while providing financial assessment and evaluation of each patient entering the hospital. The Lead Patient Access Specialist must comprehend the hospital’s financial policies, possess the ability to apply it to the patient, and
secure payment for the patient’s hospital liability. Lead Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Lead Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights.
Education
Minimum Level of Education Required: High School completion / GED
Preferred educational qualifications: Associates Degree preferred in healthcare or related business field.
Position specific testing: Typing test 25 words per minute preferred
Licensure/Certification/Registration
Medical Terminology certification preferred.
Experience
Minimum Level of Experience Required: 1 - 3 years of job-related experience
Prior specific functional responsibilities: Requires at least two years’ experience in customer service and general clerical/office procedures. Applicable class work may be substituted for previous work experience.
Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. Applicable class work may be substituted for previous work experience.
Knowledge/Skills
1. Ability to perform a variety of tasks, often changing assignments on short notice.
2. Must be adept at multi-tasking.
3. Will be required to learn and work with multiple software/hardware products to be used during the course of an average work day.
4. Must possess excellent verbal and listening communication skills.
5. Must be able to maintain a professional demeanor in stressful situations.
6. Must be adept with machinery typically found in a business office environment.
7. Possesses mathematical aptitude to make contractual calculations and estimate patient financial obligations to achieve financial clearance.
8. Able to build productive relationships with all contacts.
9. Must be able to complete Medicare Compliance training within 90 days of hire.
10. Prefer minimally one-year experience in a hospital, medical office/clinic, or insurance company.
11. Overall knowledge of third party collections, registration, billing and contracts is preferred.
Other facts
About Premier Health
Based in Dayton, Ohio, Premier Health’s mission is We care. We teach. We innovate. We Serve. Home to the nation’s 31st largest hospital, the region’s only adult Level I trauma center and the largest locally based clinical laboratory, Premier Health continues to build upon a more than 130-year legacy of providing clinical excellence and compassionate care to friends and neighbors across Southwest Ohio. The health system offers award-winning care at five hospital sites: Miami Valley Hospital in Dayton with additional inpatient sites at Miami Valley Hospital South in Centerville and Miami Valley Hospital North in Englewood; Atrium Medical Center in Middletown; and Upper Valley Medical Center in Miami County. In addition, Premier Health provides a comprehensive range of care choices at its eight emergency departments, eight Urgent Care locations, and more than 130 outpatient locations and affiliated primary care and specialty physician offices, as well as home health, mental health, and substance abuse services.
What you'll do
- The Lead Patient Access Specialist is responsible for overseeing patient access services, ensuring quality customer satisfaction, and assisting with audits and departmental goals. They will also handle financial counseling, registration, and insurance verification while maintaining compliance with regulatory requirements.
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