Patient

Access Specialists are instrumental in ensuring the efficient and effective

flow of patient access needs as well as initiating the revenue cycle throughout

Billings Clinic. Responsible for providing excellence in customer service by

greeting, registering and gathering appropriate information for clinical,

patient financial services, regulatory and meaningful use. Included are

appropriate demographic and insurance information, scheduling appointments,

collection of co-payments and self-pay deposits and posting payments into the

billing system. Position must fully understand the ramifications and impacts of

incomplete or inaccurate information as it relates to clinical staff and the

revenue cycle.

Essential Job Functions

•

Supports and models behaviors consistent with Billings Clinic’s mission,

vision, values, code of business conduct and service expectations. Meets all

mandatory organizational and departmental requirements. Maintains competency in

all organizational, departmental and outside agency standards as it relates to

the environment, employee, patient safety or job performance.

• Responsible for patients’ and guests first impressions of Billings

Clinic and clinical departments. • Using best practices in customer

service by greeting patients, identifying and entering accurate patient

specific information to include demographics, guarantor information, subscriber

and insurance information. Responsible for initiating the revenue cycle for

timely billing and possible insurance follow up.

• Competently and courteously educates patients about various forms that

may require their signature.

• Validates insurance(s) using IntelliSource and analyzes electronic

responses ensuring appropriate set-ups, which may be dependent upon State where

services are to be rendered.

• Coordinates with patients, internal and external providers, nursing

staff to ensure Medicaid Passport authorizations are obtained and entered.

• Schedules and coordinates appointments in a manner that meets the

patient’s needs and each individual provider’s scheduling protocols for the

various appointment types, lengths of appointments and any pre-appointment

requirements. May instruct patients on specific preparations and/or

restrictions necessary to prepare for ancillary procedures as defined by

clinical protocols.

• Provides in-person marketing for Billings Clinic’s patient portal.

Explains functionality of the portal and sends electronic invitations to

patients for access and establishment of their connection. Should understand

that portal sign-up and usage is directly tied to Billings Clinic’s ability to

receive additional Government funding.

• Initiates collection of copayments and deposits in accordance with each

patient’s individual insurance or self-pay requirements. Accepts cash, checks

and credit cards and payroll deductions. • Accepts payments on accounts.

Maintains operating cash and collections and balancing to on-line records,

daily.

• Posts all payments directly onto patients’ accounts within the revenue

cycle system. Ensures payment to Billings Clinic for credit and debit card

transactions by obtaining electronic authorizations at the time of payment

collection.

• May schedule ancillary services. May instruct patients on specific

preparations and/or restrictions necessary to prepare for ancillary procedures.

May involve other departments as needed for regulatory requirements.

• Reviews and analyzes AccuReg edits and completes corrections in

accordance with AccuReg worklists daily.

• Performs other duties as assigned or needed to meet the needs of the

department/organization.