Patient Access Specialist
$41,600–$62,400 year
On-siteVisalia, California, United States
Job Summary
Accurately complete patient registration, pre-registration, and admission processes while obtaining advance directives, privacy notices, and appropriate signatures. Collect copayments and deductibles, enter payments into the system, and determine client payment status for insurance, Medi-Cal, or cash. Verify insurance coverage, obtain necessary releases for imaging records, and ensure proper billing using Medicare coding, diagnosis codes, and CPT codes. Answer department phones, route calls, and provide support for various floors or back-office duties including sorting mail, filing medical records, and scheduling appointments. Maintain confidentiality, protect sensitive data, and adhere to safety standards while ensuring all efforts meet departmental customer needs.
Required Qualifications
- High school diploma
- Kaweah Health approved crisis intervention training within 60 days of hire/transfer (for Patient Access-Emergency Dept)
- Bilingual in Spanish (for Chronic Disease Mgmt Clinic)
- Heartsaver AED certification (for Rural Health Clinics)
- Successful completion of the Language Resource Assistant (LRA) test at a General level (for Rural Health Clinics, GME-Family Medicine Center, and Chronic Disease Mgmt Clinic)
Desired Qualifications
- College courses
- Prior patient access, registration, insurance benefit and medical terminology experience
- Bilingual in Spanish (for Rural Health Clinics, Urgent Care Centers and GME-Family Medicine Center)
- Demonstrated knowledge of Medicare coding, diagnosis codes, CPT codes to assure proper billing and use of ABN
- Proficiency in applicable programs
- Knowledge of HEDIS (Healthcare Effectiveness Data and Information Set) tracking quality measures
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