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Senior Patient Access Specialist - Cincinnati

Job ID: 4664096
Updated: June 15, 2018
Geographic Location: Cincinnati
Department: Patient Access Registratn
Full/Part Time: Full-Time
Shift: All
Standard Hours: 40
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Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Senior Patient Access Specialist  is responsible for performing admitting duties for all patients receiving services at Mercy Health. As a Senior Patient Access Specialist , additional duties can include training, scheduling, and other leadership responsibilities. They are responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all regulatory compliance requirements.  The Senior Patient Access Specialist will work within the policies and processes as that are being performed across the entire organization.  

Job Responsibilities:

Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Mercy Health policies, and provide excellent customer service in these interactions with the appropriate level of compassion.  Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable.

Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected.  These activities may include accounts for other employees, departments, and facilities.

A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of revenue cycle. A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.

Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.

Mission/Core Values:  It is expected that all of the duties and responsibilities of this position will be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion: seeks to understand, listen and explain; Advocate: is the voice for the vulnerable;  Respect: demonstrates the highest regard for and welcomes all people; Excellence: commits to the highest standard of quality care, joyful service, and teamwork) and in a manner that reflects the core values of Mercy Health which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service.

   

Qualifications - Minimum

  • 2-3 years of experience in Patient Access or Revenue Cycle experience required
  • Understanding of Revenue Cycle including admission, billing, payments and denials required
  • Certified Healthcare Access Associate (CHAA) and/or CRCR, Certified Revenue Cycle Representative within 90 days of hire

Hours

Full-Time at 40 Hours/Week on Seoncd Shift.

A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and leadership. As part of on-call responsibilities, the Senior Patient Access Specialist  may be responsible to come in to work at unscheduled times to cover for staffing issues

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

 

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