Patient Access Specialist - Clinic in Pleasant Prairie, Wisconsin at Froedtert South, Inc.

Job Function: Medical
Froedtert South, Inc.
Pleasant Prairie, Wisconsin, 53158, United States
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Job Description

  • POSITION PURPOSE
    • A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ management.
  • MINIMUM EDUCATION REQUIRED
    • High School or GED
  • MINIMUM EXPERIENCE REQUIRED
    • 6 months – 1 year
  • LICENSES / CERTIFICATIONS REQUIRED
    • Formal education beyond high school in Business or Healthcare or equivalent experience preferred.
  • KNOWLEDGE, SKILLS & ABILITIES REQUIRED
    • Experience in a health care business or receptionist environment.
    • Excellent computer and customer services skills.
    • Knowledge of medical terminology; ICD-10, CPT and HCPCS codes and use.
    • Familiarity with internet, email and Microsoft office.
    • Effective written and verbal communication skills required.
    • Demonstrates ability to efficiently organize work, while maintaining a high level of accuracy and productivity
    • Experience in patient registration, insurance verification and health insurance plans.
  • PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
    • Schedules, reschedules and cancels patient appointments
    • Executes pre-arrival registration by adhering to registration standards
    • Accurately identifies and enters patient’s insurance coverage
    • Performs check-in/check-out functions for patient appointments
    • Collects all applicable copays, patient balances, pre-payments and self-pay payments for services
    • Manages and resolves assigned departmental WQs
    • Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team
    • Performs manage care referrals and prior-authorizations functions
    • Proficient use of healthcare software utilizing established standards

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Job Location

Pleasant Prairie, Wisconsin, 53158, United States

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