Patient Access Specialist

Job Code: AM4018
Full Time Days
Mon-Thur-9:30am-6p and Fri-9:30am-5pm

ABOUT US

We are welcoming a new era in healthcare where achieving good health is just the beginning. At UVA Health Northern VA & Culpeper, we believe in caring for the whole person by getting to know – and making connections with – our patients. By combining the talent and expertise of our people, the breadth of capabilities across our system, and our commitment to helping our communities get better and stay healthy, we are improving the patient experience.

As a UVA Health Northern VA & Culpeper team member, you will have a voice in patient care decisions, support the most advanced medical technologies and feel a strong sense of satisfaction from making a difference in people’s lives every day.

JOB TYPE

Classification: Nonexempt

Supervises Positions: No

JOB SUMMARY

Responsible for pre-registration, registration, verification activities and gathering and processing of patient demographic and financial information. Responsible for identifying source of payment and collecting payment and interfacing with insurers, members of the hospital and medical staff. Maintains current knowledge of Federal and State regulatory compliance guidelines and joint commission requirements. Promotes departmental objectives through cooperation and quality performance. Responsible for pre-registration, registration, verification activities and gathering and processing of patient demographic and financial information. Responsible for identifying source of payment and collecting payment and interfacing with insurers, members of the hospital and medical staff. Cross training required in multiple administrative support functions and registration points. Works in fast paced, stressful environment requiring staffing weekdays and weekends all hours.

Financial Acumen: Conducts financial analyses.

• Performs computations using advanced mathematical formulas or equations. 
• Develops and produces ad hoc financial reports for users throughout the organization. 
• Assists with the completion of financial surveys, month-end closing duties, and in the annual budgeting process. 

Quality Improvement: Assists in efforts to improve the quality of financial services. 

• Applies financial accounting standards to specific transactions/situations/scenarios. 
• Evaluates/Assesses/Complies with Internal Controls for financial systems.
• Assists with the coordination of the annual external financial audit. 

Collaboration: Works with staff across departments for internal and external financial reporting, accounting, and transactional research. 

• Works with study coordinators, regulatory team members, leaders, and finance to reconcile any discrepancies in data entered into the financial systems.
• Prepares financial reports, as directed by leaders and executives. 
• Provides financial quality assurance and reporting analysis for metrics across departments. 

The incumbent may be asked to perform additional duties as assigned.

QUALIFICATIONS

Education: High School Diploma or GED preferred.

Experience: Minimum of 1 year of experience in patient access, registration, billing, cash collection, insurance and/or pre-certification in a medical environment preferred. 1 year of customer service experience preferred. 1 year of clerical experience preferred. Refer to the Life Support Training Policy for additional details.

Licensure: N/A

Additional Skills/Requirements Required: Demonstrated knowledge of insurance plans and coordination of benefits, registration processes, and collection and cash receipting in compliance with regulatory standards, emergency codes and appropriate responses and applicable federal and state healthcare regulations. Excellent interpersonal and communication skills, possesses experience and competency in customer service relation skills. Ability to organize and prioritize work in a stressful environment. Ability to work effectively as a member of a team and individually. Good problem-solving skills. Basic medical terminology. Basic computer skills and experience in patient registration systems.

Additional Skills/Requirements Preferred: Reading procedural orders, basic scheduling functions, understanding of insurance benefits, insurance plans and coordination of benefits.

PHYSICAL DEMANDS

Physical Demand Code: 6A, Customer Service

Work Function/Activity: Sedentary to Light Physical Demand

The job requires frequent sitting and standing, occasional walking, and bending/stooping. Frequent repetitive arm, hand, and finger movements. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull up to 20 lbs. occasionally. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Health Northern VA & Culpeper.

OTHER

• May require the use of safety equipment, such as HEPA mask, for infection prevention: Yes
• On call responsibilities as directed: Yes
• Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes