Patient Access Specialist

Kforce has a client in Macomb, Michigan (MI) that is seeking 11 Patient Access Specialists on a temp-2-hire basis (4-month probation phase).Responsibilities:
Ensures all insurance, demographic, and eligibility information is obtained from patients and entered the system in an accurate and timely manner; registers patients in the system as necessary
Collects and reviews all patient insurance information and completes insurance forms; collects co-pays, deductibles and other out of pocket amounts at the time of visit
Confirms patient insurance verification and eligibility; obtains pre-authorization of services and/or referrals; assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations
Posts line items and adjustments to patient accounts; balances receipts, reconciles daily work batches and prepares audit trail; prepares deposits for bank as needed
Reviews Explanation of Benefits (EOB) for consistency
Submits files and processes all claims for payment; researches and resolves claim delay issues
Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary; resubmits claims and processes all insurance/patient correspondence; provides all documentation to expedite payment
Follows-up on assigned accounts; uses collection techniques to keep accounts current including monitoring for delinquent payments
Sets-up financial arrangements with patients as necessary
As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources
Experience in the health industry is preferred; customer service in a clinical setting is preferred; able to work in a high volume, fast paced work environment and perform and prioritize multiple tasks simultaneously
Keyboard and data entry skills required; computer experience is required with Microsoft Word, e-mail, and internet communication, as well as the ability to work effectively with electronic work quality monitoring and electronic systems
Ability to deal effectively with verbally offensive and/or distressed patients and their families
Ability to learn how to accurately identify the correct insurance payor out of the constantly changing insurance products, each with potentially multiple and differing contracts applies to the patient being registered
Must have the interpersonal skills to deal effectively, cordially and compassionately with a diverse group of patients, physicians, other staff personnel as well as outside hospitals, agencies and the public
Must have strong customer service skills with the sensitivity and intuition to detect hidden stresses of problems with the ability to be resourceful and creative in their resolution; must maintain a high energy and positive outlook, as well as a calm an impartial response in dealing with a wide variety of complains, personalities, levels of stress, complicated situations, illness and urgent demands
Requires the employee to have experience with or the capability to be trained to a high degree of in analytical and complex problem solving
Mathematical skills sufficient to calculate financial formulas to support applications for Free Care eligibility
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. Compensation Type: Hours Minimum Compensation: 11.50 Maximum Compensation: 15.50


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