WI3666507

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

40

JOB REQUIREMENTS: Overview Patient Access Specialist, Days, Rockford, 80
Hrs / 2 wks Location: MercyCare Bldg; Janesville, WI Hybrid and flexible
work schedule opportunities available after probationary period.
Responsible for correctly prioritizing and completing all steps of the
scheduling, referral management, authorization, verification and
registration process prior to patients receiving services. Identifies
scheduling needs, reviews schedules, follows scheduling protocols and
enters visit information for appropriate scheduling. Identifies,
verifies, and captures appropriate patient demographic information and
health insurance benefit eligibility information. Performs payer
coverage investigation, as necessary, utilizing both internal and
external tools and resources, to obtain reimbursement verification.
Utilizes knowledge including, but not limited to, managed care,
commercial, government, and work comp insurance billing requirements, as
well as current coding guidelines and standards, to ensure resolution of
pre-service edits, appropriate management of claims, initiation and
direction of accounts for pre-authorization as required, prevention of
timely filing claim denials, and procurement of appropriate
reimbursement. This position requires understanding of healthcare
Revenue Cycle and the importance of evaluating and securing all
appropriate financial resources to maximize reimbursement to the health
system. This position assumes clinical and financial risk of the
organization when collecting and documenting information on behalf of
the patient. Responsibilities Ensures all scheduled visits are
pre-registered and accounts are appropriately certified / authorized in
advance of the service date. Initiates, obtains, and documents
referrals/authorizations/pre-certifications in appropriate systems.
Answers incoming external/internal telephone calls, determines purpose
of calls and schedules appropriately or routes to physician practices or
other departments as appropriate. Registers new and returning patients
via multiline phone lines, and various Mercy systems/applications for
visits within the Mercyhealth System ensuring that all required elements
are gathered to ensure payment for the service provided. Initiates
outbound calls to external providers, patients, and/or payers based on
referrals entered into the system and schedules appropriately.
Communicates with provider\'s office as needed. Ensures compliance with
Access and Revenue Cycle related policies and procedures. Manages
waitlists, rescheduling/cancellation of appointments as necessary.
Completes accounts in assigned WQ\'s. Manages patient initiated
scheduling requests through MyChart, Telehealth, or other
self-scheduling applications. Maintains a high level of professionalism
and provides a quality patient\... For full info follow application
link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity
employer functioning under Affirmative Action Plans. \*\*\*\*\*
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/01F09132B39C4090