What are the responsibilities and job description for the Access Specialist- ConvenientCare position at Geisinger?
- Schedules patient appointments, completes accurate pre-registration and insurance verification system wide, for providers including specialty and ancillary services throughout Geisinger, to ensure timely and accurate information for future scheduled appointments and accurate payment for services.
- Communicates appropriately and effectively with patients, referring physicians, departments, specialties and assigned sites in compliance with customer service standards.
- Understand and comply with all regulatory restrictions within the patient access arena to include HIPPA, MSP, Advance Directives, Medicare – Advanced Beneficiary Notice, Financial Responsibility Form Collaborates with Clinic Operations to assure that all requests are satisfied within the time frame specified by the referring provider.
- Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician-specific scheduling guidelines to provide the first available appointment in conjunction with patient preferences for time, date and location of each appointment.
- Processes requests for referrals and obtains the referrals for physician offices in compliance with third party payer referral guidelines and requirements Provides one-call resolution whenever possible Responsible to address patient and referring physician needs pertaining to insurance coverage and benefit eligibility inquiries and appointments.
- Reviews outstanding balances and pre-service patient liability with patients.
- Refers patient for Financial Counseling as appropriate.
- Achieves and maintains service goals related to departmental metrics.
- Achieves and maintains quality and service standards; makes suggestions for improvements to procedures or innovations to enhance the patient experience Scans all information into the patients record that is received from referring providers Provides basic analysis to operations, administration and other teams relating to scheduling and financial clearance.
- Coordinates efforts with clinical and Revenue Cycle departments to resolve referral, appointment, insurance, and other patient appointment-related concerns.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
