PATIENT ACCESS SPECIALIST II at Sinai Chicago – Chicago, Illinois

Position Purpose: As part of the Revenue Cycle, the Patient Access Specialist II is responsible for adhering to strict patient safety policies to ensure compliance with regulatory agencies through proper patient identification processes, insurance verification and financial services. The specialist assists with expediting and resolving high-priority billing errors and patient financial non-collection accounts to ensure organizational profitability at all service locations under the Financial Project Management Directive of the CRO.

This position reports to the Patient Access Manager with oversight from the System Director, Patient Access and the Chief Revenue Officer. Key Job Activities:

Collects and validates patient demographic information, including but not limited to insurance, health, financial and religious information at the time of registration.

Responds to patient concerns and inquiries professionally. Maintains positive working relationships with patient’s physicians, visitors and staff. Communicates to the parties involved (staff, physicians and management). Ensures all phone calls are answered in a timely (3 rings preferably), professional manner while warmly introducing self to caller and demonstrating sensitivity to diverse populations.

Greets, directs, and updates patients in a pleasant, professional and courteous manner.

Performs the proper steps necessary to secure an order/referral, including: logging into necessary operating systems, faxing or calling the physician's office and/or office staff to retrieve orders/referrals as necessary.

Documents all pertinent information into HIS notes' system pertaining to scheduling, registration and insurance verification information that may affect service outcomes.

Schedules/re-schedules patients’ appointments as required via a scheduling system verifying the correct appointment has been made while engaging the patient.

Ability to check the voicemail system as directed, log callbacks and clear messages within 1 business day. Conducts any end of day billing or cash reconciliations in a timely and accurate manner.

Uses all technology systems effectively and correctly as instructed by management. sinaichicago.org

Monitors volume, including incoming calls and patient waiting areas to ensure that patients are assisted in a timely manner.

Consistently meets or exceeds the 96% accuracy rate on bi-annual competency exams.

Performs other duties as assigned. Education and Work Experience: High School required, some college preferred

Four years’ healthcare revenue cycle accounts receivables follow-up experience (Required)

Four years’ experience resolving RCM work que/account errors in EPIC (Required)

Four years’ healthcare accounts collection experience (IL Medicaid and commercial payers) (Required) Knowledge and Skills:

Knowledge of payer guidelines/fee schedules/cash payment posting Strong customer service skills

Strong medical terminology knowledge

Ability to communicate with all levels of staff

Proficient with computers (Microsoft Office Suites Word, Intermediate Excel, PowerPoint)

Experience in EPIC and MEDITECH software systems preferred.

Education and Work Experience:

High School required, some college preferred

Four years’ healthcare revenue cycle accounts receivables follow-up experience (Required)

Four years’ experience resolving RCM work que/account errors in EPIC (Required)

Four years’ healthcare accounts collection experience (IL Medicaid and commercial payers) (Required