Patient Access Specialist

  • Devils Lake
  • Altru Health
<b>Location:</b> <br>Altru Clinic | Devils Lake<br> <br>1001 7th St. NEDevils Lake, ND 58301<br> <br>Pay Range: $15.50 - $23.22<br> <br> <b>Summary:</b> <br>The Patient Access Specialist gathers necessary insurance and demographic information from patients. The Specialist translates the information provided by the patient/guarantor into the computer system with the result of an accurate claim submission. May be responsible for some or all of the following: insurance verification, prior authorization, pre-certification, referrals, second opinion management, insurance assignments and/or workers compensation authorizations.<br> <br> <b>Essential Job Functions:</b> <br> <ul> <li>Receives and directs all patients, visitors and professionals, ensuring their needs are met in a timely manner. Answers telephone, routes calls and messages and communicates messages requiring immediate action/response. Checks in patients and completes copying requests according to standard operating procedure.<br></li> <li>Accurately registers patients by collecting and recording demographic, insurance, financial, and clinical data in the computer system. Records and collects necessary patient account documents. Collects self-pay balances, pre-payment amounts, and co-pays per guidelines, if applicable. Creates accounts for new patients and updates accounts for previous patients to ensure accurate services and account processing.<br></li> <li>Maintains knowledge of and complies with third-party payers' requirements for verifying insurance information, obtains authorizations/pre-certifications, and completes other activities to ensure services are billed and reimbursed appropriately. Reviews Medicare accounts for completed MSPQ.<br></li> <li>Schedules patient visits and/or procedures, while coordinating appointments with other departments to meet the patient/provider needs.<br></li> <li>Performs other duties as assigned or needed to meet the needs of the department/organization.<br></li></ul> <br> <b>Education:</b> <br> <br>&bull; Preferred: Associates - Healthcare<br> <br> <b>Work Experience: </b> <br> <br>&bull; Preferred: A minimum of 1 year Related Experience<br> <br> <b>Physical Demand</b> <b>s :</b> <br> <br>&bull; Sit: Continuously (67-100%)<br>&bull; Stand: Occasionally (5-33%)<br>&bull; Walk: Occasionally (5-33%)<br>&bull; Stoop/Bend: Occasionally (5-33%)<br>&bull; Reach: Frequently (34-66%)<br>&bull; Crawl: Not Applicable<br>&bull; Squat/Crouch/Kneel: Occasionally (5-33%)<br>&bull; Twist: Occasionally (5-33%)<br>&bull; Handle/Finger/Feel: Continuously (67-100%)<br>&bull; See: Continuously (67-100%)<br>&bull; Hear: Continuously (67-100%)<br> <br> <b>Weight Demands:</b> <br> <br>&bull; Lift -Floor to Waist Level: Sedentary (&lt; 10 pounds)<br>&bull; Carry: Sedentary (&lt; 10 pounds)<br>&bull; Push/Pull: Sedentary (&lt; 10 pounds)<br>&bull; Slide/Transfer: Not Applicable<br> <br> <b>Working Conditions:</b> <br> <br>&bull; Indoor: Continuously (67-100%)<br>&bull; Outdoor: Not Applicable<br>&bull; Extreme Temperature: Not Applicable<br> <br> <b>Driving Requirement Definitions: </b> <br> <ul> <li> <b>Professional Drivers:</b> Persons who drive as their main responsibility OR transport passengers or hazardous materials.</li> <li> <b>Frequent Drivers:</b> Persons whose main responsibility is not driving, but drive daily or almost daily.</li> <li> <b>Occasional Drivers</b>: Persons who drive from once per month to as frequently as once per week.</li> <li> <b>Infrequent Drivers:</b> Persons who are generally not expected to drive.</li></ul> <br> <b>Driving Requirement for this position: </b> <br>Infrequent Driver<br> <br>Reference ID: R4137<img src="https://counter.adcourier.com/YmJnZW5lcmljLjMxNDg4LjEyNTI0QGFsdHJ1aGVhbHRoY29tcC5hcGxpdHJhay5jb20.gif">