Patient Access Specialist

Posted 21ds ago

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Job Description

Patient Access Specialist scheduling patients, registering demographics, and verifying insurance for Northwestern Medicine. Supporting patient access, referrals, eligibility checks, and Epic documentation.

Responsibilities:

  • Practice the Patients First philosophy and maintain high customer service standards
  • Respond to patient questions and concerns, escalating extraordinary issues to the Team Lead or Operations Coordinator
  • Maintain patient confidentiality under HIPAA regulations
  • Provide exceptional customer service and create a positive first impression
  • Identify and collect accurate patient demographic information
  • Schedule and direct patients through Northwestern Medicine systems
  • Contact patients to schedule appointments
  • Perform medical necessity checks and communicate options when appointments fail
  • Inform patients about issues securing financial accounts
  • Complete out-of-pocket estimations
  • Provide training and education as needed
  • Manage schedules and complete tasks on time
  • Cross-train between departments to ensure coverage
  • Participate in quality assurance reviews of patient data
  • Resolve service breakdowns using service recovery skills
  • Communicate physician referral, insurance referral, and consultation information
  • Collect authorization numbers in applicable systems
  • Collaborate across units and departments to resolve operational issues
  • Verify or print patient orders using online retrieval systems
  • Verify insurance eligibility and benefits using online tools or telephone
  • Document accurate handoff instructions and notes in Epic
  • Run real-time eligibility checks and follow out-of-network policies
  • Send descriptive and grammatically correct Epic messages and telephone encounters
  • Prevent patient-visit issues by checking tests, preparation requirements, scheduling conflicts, time, location, and duplicate records
  • Collect and verify the minimum registration data set
  • Analyze account activity and initiate appropriate resolutions
  • Suggest process improvements and participate in quality improvement activities
  • Monitor registration, scheduling, and insurance verification against quality standards
  • Act as a training resource for new staff and coworkers
  • Perform other duties assigned by management

Requirements:

  • High School diploma or equivalent
  • 2-3 years customer service or medical office experience
  • Excellent interpersonal, verbal, and written communication skills
  • Proficiency in computer data-entry/typing
  • Ability to read, write, and communicate effectively in English
  • Basic Computer Skills
  • Ability to type 40 wpm
  • Ability to multi-task
  • Customer service oriented
  • Excellent organizational, time management, analytical, and problem solving skills
  • Additional education preferred
  • Additional language skills preferred
  • Healthcare finance and/or healthcare insurance experience preferred
  • Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration preferred
  • Must complete a criminal-history background check if offered the position
  • Must complete an authorization and disclosure form for the background check

Benefits:

  • Competitive benefits
  • Tuition reimbursement
  • Loan forgiveness
  • 401(k) matching
  • Lifecycle benefits
  • Employee resources supporting physical, emotional, and financial well-being
  • Protection for unexpected life events