Patient Access Specialists are vital in ensuring efficient patient flow and initiating the revenue cycle. These positions are responsible for delivering exceptional customer service by registering patients, gathering required demographic and insurance data, collecting time of service payments, and scheduling appointments. This role requires attention to detail and a strong understanding of how inaccurate or incomplete information can affect clinical operations and billing processes.
Essential Job Functions
• Serve as the first point of contact for patients and
visitors, creating a welcoming and professional environment while
upholding Billings Clinic’s values and service expectations.
• Accurately register patients for services by
collecting and verifying demographic, insurance, financial, and consent
documentation; ensure data integrity for billing and clinical purposes.
• Schedule and coordinate appointments across multiple
specialties and service lines, following clinic-specific protocols and
communicating clear instructions for visit preparation.
• Verify insurance eligibility and benefits, obtain
prior authorizations when required, and document payer responses using
tools such as Experian.
• Collect patient payments, including time of service
payments, deposits, and outstanding balances; post transactions in
real-time and reconcile daily cash drawers according to clinic policy.
• Educate patients on financial obligations, available
payment plans, and use of online tools such as the My Billings Clinic
patient portal to enhance access and engagement.
• Ensure compliance with HIPAA and regulatory
requirements, including presenting and explaining consent forms, privacy
notices, and provider-based billing information.
• Review and correct registration errors daily using
audit tools and worklists; proactively identify and resolve discrepancies
that may delay care or impact billing.
• Collaborate with clinical teams, billing departments,
and external partners to facilitate patient access, clarify registration
or authorization needs, and coordinate timely service.
• Demonstrate professional communication skills in all
interactions, including in-person, phone, email, and electronic health
record documentation.
• Support workflow efficiency and provider productivity
by minimizing registration delays, optimizing appointment slots, and
adapting to schedule changes or patient needs.
• Contribute to department quality and performance
goals through participation in continuous improvement efforts, service
recovery, and staff training (as applicable by level).
• Adhere to downtime and emergency protocols, ensuring
accurate manual registrations and maintaining patient access operations
during system outages.
• Use and maintain proficiency in multiple
electronic systems, including Cerner, Experian, Microsoft Office, and web-based
applications to support daily tasks.
Minimum Qualifications
Education
• High school diploma or equivalent
• Some college or healthcare focused classes preferred such as medical terminology, medical office practices, etc.
Experience
• Demonstrated excellence in customer service skills
• One year customer service experience; healthcare preferred
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.