Patient Access Specialist/Scheduler - 1.0 FTE

St. Peter's Hospital Helena, MT 2019-01-09

JOB SUMMARY: The role of an Access Specialist is to assist in providing seamless, patient-oriented and timely access to services provided at the hospital and/or clinic. This position requires excellent customer service skills, both written and oral, which involves ability to communicate effectively in person or over the phone. The Specialist frequently provides the first impression of the organization and must ensure optimum internal and external customer satisfaction while obtaining demographic and payment information for accurate reimbursement. The Specialist answers incoming calls, collects insurance copays where applicable, reviews daily schedules for accuracy, while working directly with patients, staff and physicians. This position is responsible for the registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy. This position also requires knowledge of insurance benefits, referrals and authorizations, and scheduling. Assist with other general office duties when needed. Working directly with patients, physician offices, technicians, nurses, and therapists to obtain all information necessary to accurately schedule appointments at St. Peter's Medical Group. Uses electronic healthcare information system to accurately record information related to the patient's scheduled appointments and/or follow up appointments. Provides patients with basic instructions such as preparation for visit, directions, arrival times, information to bring to visit, expectations for payment, and other key information to ensure patient's success. Uses/schedules in healthcare information system scheduling templates as designed. Provides information and answers patient questions. Functions as a liaison for the department to ensure open and effective communication between the hospital, clinics and its patients to ensure that patients can be scheduled in a timely manner.


The Specialist is responsible for maintaining knowledge of Joint Commission, Patient Rights and Responsibilities, Consent for Treatment, HIPAA, Payors, and departmental/System policies and procedures and must be able to explain these to patients and their family members.


KNOWLEDGE/EXPERIENCE: High school graduate or GED required. 1-2 years of Hospital admissions or physicians office experience preferred or 1 plus years professional work experience required. Experience in customer service or scheduling departments in a healthcare setting highly preferred. Must possess interpersonal skills necessary to communicate effectively and efficiently in a courteous and considerate manner to maintain contact with St. Peters Hospital and St. Peters Medical Group and their customers. Impeccable personal honesty, integrity and confidentiality are essential. Knowledge of health care insurance and managed care preferred. Medical terminology preferred.


EDUCATION: High school education or GED preferred. High School diploma preferred. Experience in a hospital or clinic setting preferred.


LICENSE/CERTIFICATION/REGISTRY: None.

Aptitudes: * Demonstrated ability to communicate in a professional and courteous manner with customer. *Demonstrated ability to effectively completed assigned work while experiencing multiple interruptions. *Demonstrated ability to manage complex and multiple tasks within assigned time period. Demonstrated ability to work independently with minimal direction, performs detailed assignments, and compile information with accuracy.

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