The Patient Access and Scheduling Specialist serves as the primary point of contact for patients entering the healthcare system. This role is a blend of high-level customer service and technical precision, ensuring that patient demographics, insurance verification, and clinical scheduling are handled accurately to facilitate a seamless care experience.
Key Responsibilities
- Patient Intake & Registration: Coordinate the end-to-end registration process, including gathering demographic information and obtaining necessary consent forms.
- Complex Scheduling: Manage high-volume appointment scheduling across multiple clinical departments, ensuring adherence to provider-specific protocols.
- Insurance Verification: Perform real-time insurance eligibility checks, obtain prior authorizations, and communicate estimated out-of-pocket costs to patients.
- Financial Counseling: Assist patients in understanding their financial responsibilities and facilitate Point-of-Service (POS) collections.
- Data Integrity: Maintain the accuracy of the Electronic Health Record (EHR) by identifying and merging duplicate records and updating insurance coverage.
- Patient Advocacy: Act as a navigator, providing directions, prep instructions for procedures, and resolving scheduling conflicts with empathy.
Requirements
Required Qualifications
- Education: College Diploma
- Experience: Minimum of 12 years of experience in a healthcare setting (hospital, physician's office, or outpatient clinic)
- Technical Skills: Proficiency in US Healthcare Process
- Communication: Exceptional verbal and written communication skills with the ability to remain calm under pressure in a fast-paced environment.
Preferred Qualifications
- Epic Experience:Highly preferred. Proven proficiency in Epic Prelude (Registration) and Epic Cadence (Scheduling) modules.
