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Patient Access Specialist

Company: Cuyuna Regional Medical Center
Location: Crosby
Posted on: November 22, 2021

Job Description:

POSITION SUMMARY+ Responsible for accurately scheduling, obtaining/verifying patient information, appropriate documentation, and serving as the communication link between the patient, the provider and the other clinic departments or agencies involved in the patient's care. POSITION QUALIFICATIONS+ Education and Experience:+ Prefer High School Diploma or equivalent. Prefer completion of Health Care Administrative Specialist or similar program or comparable experience in a health care facility. Successful completion of data entry and general clerical standards as administered by Cuyuna Regional Medical Center Human Resources Staff.+ License/Certificates:+ N/A+ Special Skills and Aptitudes:+ Effective Interpersonal relationships skills including good listening and communication skills.+ Ability to handle confidential information discreetly and appropriately.+ Ability to adapt resources to meet the needs of the situation.+ Exercise good judgment, flexibility, creativity and insight to problem solving.+ Adjust to stressful situations with confidence and good judgment.+ General knowledge of insurance/insurance verification and/or medical necessity.+ Basic knowledge of medical terminology.+ Excellent customer service and telephone etiquette.+ Ability to work independently.+ Ability to multi-task.+ High quality customer service. ESSENTIAL RESPONSIBILITIES+ Scheduling and Documentation+ Accurately schedules patient appointments according to schedule guidelines and provider preferences including clinic day/hours, appointment types, allotted time slots, restrictions and orders.+ Inform and instruct patients on procedure/appointment preparation.+ Obtain and maintain accurate electronic medical record (EMR) including verification of demographic information, insurance information and any documentation entered.+ Process physician orders as requested.+ Timely monitor and address all work queues and tasks that need to be completed.+ Provide clerical support for the department, providers and staff.+ Communication/Customer Service+ Answer all incoming phone calls in a timely, customer services friendly, and professional manner to assist callers with scheduling needs and is a liaison between the patient and the clinical staff.+ Collaborate with all other departments and any outside entities to ensure accurate scheduling and continuation of care for the patient.+ Participate as requires in continuous improvement activities to enhance the quality of patient care.+ Collaborate with patients, providers, staff, and outside entities, and staff for referral, prior authorization, and coordination or care.+ Greet and acknowledge patients, family members and all staff in a friendly and courteous manner.+ Patient Registration/Insurance Verification/Cashier+ Update patient information including demographics, insurance information, patient authorization and other paperwork per protocols.+ Verify insurance coverage through proper portals and established procedures.+ Communicate appropriately with providers and staff in supported departments.+ Monitor no-shows/late cancellations and take action per set policies.+ Collect co-pays and patient payments based on location.+ Demonstrate accuracy in writing receipts, processing credit-card payments and balancing cash drawer/bag based on location.+ Communicate with and direct patients to Financial Services to arrange for payment plans and to assist with billing questions.+ Assist providers and nursing staff to make schedule adjustments and changes.+ Process referral requests and monitors work queues.+ Enter telephone encounters and complete assigned tasks in EMR.+ Demonstrate "Standards of Excellence" when other duties are assigned.

Keywords: Cuyuna Regional Medical Center, Duluth , Patient Access Specialist, Other , Crosby, Minnesota

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