What are the responsibilities and job description for the Access Specialist II - Precertification Specialist position at Southeast Health?
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Job Description Summary
Interviews and obtains all necessary information to register or admit patients. Obtains signatures for permission for treatment and reimbursement for services. Obtains billing information, ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Discharges patients upon completion of treatment. Assists with posting and verifying of charges as well as maintaining medical records. Performs all tasks and duties in compliance with department and hospital policies. Demonstrates efficient and professional behavior at all times.Job Description
QUALIFICATIONS:
- High School diploma;
- Prefer one year of hospital or clinic revenue cycle experience;
- Working knowledge of computers;
- Medical terminology required;
- Medical terminology may also be completed through SEH training and development electronic education program within orientation period.
LANGUAGE/ COMMUNICATION SKILLS:
- Excellent written, verbal and interpersonal skills;
- Ability to interact with customers in both hospital and clinic environments.
SKILLS:
- Basic keyboard/typing skills;
- Basic computer skills;
- Calculator skills.
POSITION DUTIES:
- Works as part of a multi-disciplinary team to provide answers to inquiries and questions;
- Troubleshoot problems and provide information;
- Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person;
- Provides a variety of support services in connection to the day-to-day operations in a health care environment;
- First and ongoing point of contact for all clients either by phone or in person;
- Provides scheduling or patient enrollment for services;
- Enters/updates all demographic information, financial/billing information, caregiver contact information, and additional information needed to complete patient record;
- Verifies third party payer coverage;
- Collects self-pay balances;
- Schedules patient for planned clinical services;
- Makes referrals for customers to appropriate resources;
- Must be able to consistently stay calm while interacting with clients telephonically or in person;
- Must be able to adapt to a consistently changing fast paced environment that requires excellent multi-tasking skills;
- Must be flexible with the business needs and report daily with a “can do” approach;
- Provides estimates for clinical services;
- Performs transcription of basic orders in software system for patient account processing;
- Obtains/initiates authorizations for clinical services when required;
- Obtains all required signatures needed for billing and clinical treatment;
- Coordinates assistance and initiates self-pay workflows;
- Responsible for assisting patients with SE Health financial assistance programs.;
- Responsible for obtaining pre-certs/authorizations;
- Transcribe orders consistently in the job role;
- Calculate estimates for surgical procedures and inpatient admissions;
- Performs all other duties as assigned.
Shift
Shift Details
8:00 am - 4:30 pmFTE
Type
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Equal Employment Employer
Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.
