Job Details
Location:
Altru Clinic | Devils Lake
1001 7th St. NE
Devils Lake, ND 58301
Pay Range: $15.50 - $23.22
Summary:
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.
Essential Job Functions:
- 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.
- 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.
- 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.
- Schedules patient visits and/or procedures, while coordinating appointments with other departments to meet the patient/provider needs.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
Education: Preferred: Associates - Healthcare
Work Experience: Preferred: A minimum of 1 year Related Experience
Physical Demands : Sit: Continuously (67-100%)
Stand: Occasionally (5-33%)
Walk: Occasionally (5-33%)
Stoop/Bend: Occasionally (5-33%)
Reach: Frequently (34-66%)
Crawl: Not Applicable
Squat/Crouch/Kneel: Occasionally (5-33%)
Twist: Occasionally (5-33%)
Handle/Finger/Feel: Continuously (67-100%)
See: Continuously (67-100%)
Hear: Continuously (67-100%)
Weight Demands: Lift -Floor to Waist Level: Sedentary (<10 pounds)
Carry: Sedentary (<10 pounds)
Push/Pull: Sedentary (<10 pounds)
Slide/Transfer: Not Applicable
Working Conditions: Indoor: Continuously (67-100%)
Outdoor: Not Applicable
Extreme Temperature: Not Applicable
Driving Requirement Definitions: - Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position: Infrequent Driver
Reference ID: R3835