Patient Access Specialist

WMC ED Patient Access - 208228 Winchester, Virginia Full-Time


Description

  • Entity:
  • Shift: Evening

Who We Are

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.

A vital resource for healthcare, we are the region’s largest employer, a dependable community partner, and are at the leading edge of clinical innovations.

We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.

What You Will Do:

Patient Access Specialists (PAS) support the front end of the revenue cycle by processing accurate and complete pre-registration, registration, demographic and financial verification activities. While providing exceptional customer service, the PAS analyzes insurance payor/plans and verifies eligibility through Epic's RTE platform or third party websites, documents responses of eligibility accurately in the patient medical record. When applicable, PAS run cost estimates for review with patients, apply appropriate payment discounts, billing indicators, and collect payments from the patient. Registration will take place in a department setting, at the bedside, or in other settings that support superior patient care and experience.

What You Will Bring:

Education

High school graduate or equivalent required, 2 years college preferred

Experience
Previous experience with Registration, Patient Accounting in Healthcare preferred

Certification & Licensures
Certified Healthcare Access Associate, NAHAM Certification preferred

Qualifications
Must promote Valley Health's Mission, Vision, and Values.
Accurately identity the patient, provide/attach arm bands to patients, and verify the patient's identity with every new interaction.
Completely and accurately complete all registration functions during patient registration including verifying all demographic information, attaching/updating appropriate insurance to patients accounts, verifying complete orders, requesting and collecting appropriate payment from the patient.
Reviews appropriate payment options with the patients, explains discount opportunities, payment plan/financing options.
Troubleshoot any issues with the patients orders (incomplete orders, wrong orders, etc…) and contact provider office by phone immediately to resolve any issues.-Review all required documentation with the patient completely, obtain appropriate signatures, provide copies, and scan the documents into the patients medical record in Epic. Documentation includes HIPAA, Consents, Important Message from Medicare, Medassist Screening, Medicare Outpatient Observation Notification, etc…-When applicable, complete a cost estimate for the patient utilizing the estimate software/program.
Working knowledge of the Advanced Beneficiary Notification (ABN) , communicate ABN to patient and resolve the ABN.
Review patient level work queues and remove any registration errors prior to the end of each shift, if unable to resolve, place a note explaining barrier and requested assistance.
Communicate the Mychart program and its benefits to each patient, provide sign on information as appropriate (in person, mail, email).
While working in approved service areas, PAS will take photo's of patients using.
Direct patients to appropriate department or nursing floor.
Utilize good judgement and critical thinking skills to prioritize multiple tasks and problem solve.
Ability to maintain strict confidentiality regarding personnel and patient matters.
Ability to work in a high stress environment and under time constraints.
Understanding of and ability to work within a diverse community required.

What You Will Get:

- Competitive salary
- Flexible scheduling
- Onsite Childcare (available at some locations)
- Health Insurance
- Paid Time Off
- Wellness Program
- Tuition Assistance
- Retirement Plan
- Life Insurance

*some benefits are subject to change due to job status

We celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.
We are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.

EOE

Criminal Background Checks
VA State Police
3rd party Background Check

FLSA Classification
Non-exempt

Grade
107

Physical Demands
6 A Customer Service