Access Specialist- ConvenientCare - Geisinger
Danville, PA
About the Job
Job Summary
Provides seamless scheduling of services and financial clearance for patients and referring physician offices. Collects and maintains accurate patient information relating to registration and insurance in compliance with HIPAA guidelines. Facilitates positive multi-channel communications among patients, physicians, clinical staff, outreach sites, and internal departments to serve patient and referring physician needs using advanced writing, telephone, e-mail, and internet skills.
Job Duties
+ Schedules patient appointments, completes accurate pre-registration and insurance verification system wide, for providers including specialty and ancillary services throughout Geisinger, to ensure timely and accurate information for future scheduled appointments and accurate payment for services.
+ Communicates appropriately and effectively with patients, referring physicians, departments, specialties and assigned sites in compliance with customer service standards.
+ Understand and comply with all regulatory restrictions within the patient access arena to include HIPPA, MSP, Advance Directives, Medicare – Advanced Beneficiary Notice, Financial Responsibility Form Collaborates with Clinic Operations to assure that all requests are satisfied within the time frame specified by the referring provider.
+ Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician-specific scheduling guidelines to provide the first available appointment in conjunction with patient preferences for time, date and location of each appointment.
+ Processes requests for referrals and obtains the referrals for physician offices in compliance with third party payer referral guidelines and requirements Provides one-call resolution whenever possible Responsible to address patient and referring physician needs pertaining to insurance coverage and benefit eligibility inquiries and appointments.
+ Reviews outstanding balances and pre-service patient liability with patients.
+ Refers patient for Financial Counseling as appropriate.
+ Achieves and maintains service goals related to departmental metrics.
+ Achieves and maintains quality and service standards; makes suggestions for improvements to procedures or innovations to enhance the patient experience Scans all information into the patients record that is received from referring providers Provides basic analysis to operations, administration and other teams relating to scheduling and financial clearance.
+ Coordinates efforts with clinical and Revenue Cycle departments to resolve referral, appointment, insurance, and other patient appointment-related concerns.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details
Education
High School Diploma or Equivalent (GED)- (Required), Associate's Degree- (Preferred)
Experience
Minimum of 2 years-Related work experience (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
Provides seamless scheduling of services and financial clearance for patients and referring physician offices. Collects and maintains accurate patient information relating to registration and insurance in compliance with HIPAA guidelines. Facilitates positive multi-channel communications among patients, physicians, clinical staff, outreach sites, and internal departments to serve patient and referring physician needs using advanced writing, telephone, e-mail, and internet skills.
Job Duties
+ Schedules patient appointments, completes accurate pre-registration and insurance verification system wide, for providers including specialty and ancillary services throughout Geisinger, to ensure timely and accurate information for future scheduled appointments and accurate payment for services.
+ Communicates appropriately and effectively with patients, referring physicians, departments, specialties and assigned sites in compliance with customer service standards.
+ Understand and comply with all regulatory restrictions within the patient access arena to include HIPPA, MSP, Advance Directives, Medicare – Advanced Beneficiary Notice, Financial Responsibility Form Collaborates with Clinic Operations to assure that all requests are satisfied within the time frame specified by the referring provider.
+ Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician-specific scheduling guidelines to provide the first available appointment in conjunction with patient preferences for time, date and location of each appointment.
+ Processes requests for referrals and obtains the referrals for physician offices in compliance with third party payer referral guidelines and requirements Provides one-call resolution whenever possible Responsible to address patient and referring physician needs pertaining to insurance coverage and benefit eligibility inquiries and appointments.
+ Reviews outstanding balances and pre-service patient liability with patients.
+ Refers patient for Financial Counseling as appropriate.
+ Achieves and maintains service goals related to departmental metrics.
+ Achieves and maintains quality and service standards; makes suggestions for improvements to procedures or innovations to enhance the patient experience Scans all information into the patients record that is received from referring providers Provides basic analysis to operations, administration and other teams relating to scheduling and financial clearance.
+ Coordinates efforts with clinical and Revenue Cycle departments to resolve referral, appointment, insurance, and other patient appointment-related concerns.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details
Education
High School Diploma or Equivalent (GED)- (Required), Associate's Degree- (Preferred)
Experience
Minimum of 2 years-Related work experience (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
Source : Geisinger
