Erlanger
Job Summary
The Central Access Specialist is an entry level position and is responsible for scheduling, securing patient demographic and insurance information, verifying insurance eligibility and benefits, obtaining and validating pre‑certification, computing and communicating patient collections, and initiating the financial clearance process. Emphasis is on scheduling patients 3 to 5 days prior to the scheduled service date. The Specialist will also complete insurance verification/pre‑registration and financial clearance for special admissions, manage heavy call and schedule volumes, notify patients of their financial obligations, and collect co‑pays, deductibles, deposits and other out‑of‑pocket liabilities. The role includes reviewing past account balances, notifying patients of additional financial responsibility, and attempting collection of these balances. The Specialist must coordinate with the Central Access Financial Advocate for accounts with inadequate financial coverage. Professionalism, confidentiality, excellent oral and written communication, interaction with third‑party payers, and the ability to relate well to a broad socio‑economic mix are essential. Strong organizational skills, multitasking, working in a fast‑paced clinical setting, managing a multi‑line phone system, and teamwork are required. Ability to handle stressful situations is also essential.
Education
Required:
High School Diploma or equivalent
Preferred:
Graduate of Medical Secretary Program
Experience
Required:
Demonstrated ability to read, write, arithmetic including fractions and decimals; strong computer skills; excellent customer service; interpersonal communication and telephone etiquette; ability to multitask and manage high volumes; familiarity with computer, fax machine, copier, multiline telephone.
Preferred:
Knowledge of basic registration and third‑party payer processes; preference for experience in physician front office operations or insurance/healthcare call center; medical terminology and basic knowledge of CPT and ICD‑9 codes, insurance coding and billing.
Position Requirement(s)
Required:
(none listed)
Preferred:
Certified Healthcare Access Associate from NAHAM
Essential Functions
Answer incoming phone calls and schedule outpatient appointments.
Pre‑register scheduled patients by gathering all demographic and financial information.
Verify insurance eligibility and benefits for scheduled outpatient and inpatient patients.
Validate and initiate pre‑certification.
Compute patient liability.
Communicate and initiate time‑of‑service collections.
Review prior bad debts and request payment of outstanding accounts.
Alert Financial Advocates of accounts with financial clearance issues.
Document patient liability and financial clearance status to ensure timely processing at point of service.
Complete pre‑registration, insurance verification and financial clearance for special admission and transfer patients.
Location & Hours Erlanger Baroness Hospital, Chattanooga, TN – Regular full‑time hours.
This position is entry level and requires the ability to work closely in a clinical setting that may involve stressful situations.
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Education
Required:
High School Diploma or equivalent
Preferred:
Graduate of Medical Secretary Program
Experience
Required:
Demonstrated ability to read, write, arithmetic including fractions and decimals; strong computer skills; excellent customer service; interpersonal communication and telephone etiquette; ability to multitask and manage high volumes; familiarity with computer, fax machine, copier, multiline telephone.
Preferred:
Knowledge of basic registration and third‑party payer processes; preference for experience in physician front office operations or insurance/healthcare call center; medical terminology and basic knowledge of CPT and ICD‑9 codes, insurance coding and billing.
Position Requirement(s)
Required:
(none listed)
Preferred:
Certified Healthcare Access Associate from NAHAM
Essential Functions
Answer incoming phone calls and schedule outpatient appointments.
Pre‑register scheduled patients by gathering all demographic and financial information.
Verify insurance eligibility and benefits for scheduled outpatient and inpatient patients.
Validate and initiate pre‑certification.
Compute patient liability.
Communicate and initiate time‑of‑service collections.
Review prior bad debts and request payment of outstanding accounts.
Alert Financial Advocates of accounts with financial clearance issues.
Document patient liability and financial clearance status to ensure timely processing at point of service.
Complete pre‑registration, insurance verification and financial clearance for special admission and transfer patients.
Location & Hours Erlanger Baroness Hospital, Chattanooga, TN – Regular full‑time hours.
This position is entry level and requires the ability to work closely in a clinical setting that may involve stressful situations.
#J-18808-Ljbffr