Patient Access Specialist Penobscot Primary Care Full time Job at Penobscot Valley Hospital
- Date Posted:02/03/2023
- Employment Type:Full time
- Shift:Day shift
- Department:Penobscot Primary Care
Description
0RR02
PVH employment application required. All job offers contingent upon background check and completion of pre-employment physical.
Position is full time, 40 hours, day shift. Hourly rate, non-exempt, non union.
The Patient Access Specialist will be responsible for coordination of the prior authorization, referral verification and pre-registration process for all specialty medical services, procedures, and authorization for specialty medications as prescribed. Ensure pre-certification/prior authorization is in place for all diagnostic testing and/or procedures as required by patient’s insurance. Ensure accuracy of registration demographic and insurance information. Provide education to the patients when needed. Act as a liaison between the patient, physician office and insurance company, and consistently perform activities in a friendly, courteous and professional manner.
JOB FUNCTIONS
- Review scheduled patients’ list – at time of scheduling and at least one week prior visit.
- Review scheduled patients’ list to determine if required authorization(s), referrals or number of visits is present.
- Work on authorization process with all ancillary departments and provide education as needed.
- Complete prior authorizations and referrals for medical arts offices.
- Review all previous day’s registrations to verify insurance information present is correct and if none is listed, investigate to determine patient is not insured.
- Notify Patient Financial Services Representative and/or Collector of self-pay accounts.
- Maintain authorization/referral database.
- Performs various Athena task functions.
- Perform other tasks as assigned by the practice manager.
- Quality Improvement: Actively participates in the hospital-wide Quality Improvement Program; actively supports and implements department specific quality improvement initiatives and projects; recommends process improvement as appropriate; reports any quality issues in service delivery; and consistently commits to a focus on quality improvement and organizational excellence.
- Emergency Preparedness: As an employee of Penobscot Valley Hospital, the position has an inherent role to care for our community members when in need. To this regard, the incumbent will be expected to participate in emergency/disaster preparedness planning and drills as requested. When called upon during a real life disaster/emergency event, the incumbent will be expected to participate in the Hospital’s response to this event, within the scope of professional and personal ability to do so.
Qualifications
High school graduate.
2-3 years’ experience in a physician’s office or out-patient facility, knowledge of electronic records, medical terminology, CPT and ICD-10 coding, familiarity with authorization and referral process and insurance websites is preferred.
Familiarity with Windows software, word and excel programs. Accuracy and attention to detail are extremely important. Must possess strong organization and communication skills and be able to work independently and within a team.
Excellent verbal and written communications skills required. Must be able to multi-task.
Benefits
PVH has a Section 125 Cafeteria Benefits Plan and pays a portion of the cost of our health plan, dental, basic life, and disability insurance for employees with 30+ authorized hours, and provides partial subsidy for dependent health insurance. Part-time employees are eligible to receive dental, life, and disability coverage and are eligible to participate in the health insurance plan.
Other benefits include a 403(b) plan and earned time off accrual.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.