Patient Financial Access Specialist - OP jobs in United States
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Yale New Haven Health · 3 months ago

Patient Financial Access Specialist - OP

Yale New Haven Health is committed to providing patient-centered care and values integrity, respect, and compassion. The Patient Financial Access Specialist - OP is responsible for managing patient financial access functions, coordinating complex scheduling, and ensuring accurate patient information while providing excellent customer service. This role requires attention to detail and effective communication with patients and healthcare providers to facilitate timely and accurate reimbursement for services.

Health Care
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H1B Sponsor Likelynote

Responsibilities

• 1. Patient Throughput: Ensures all required information obtained from referring physicians and providers in clinical areas are provided to the third party payers to ensure reimbursement for services delivered within the outpatient setting
+ 1.1 Accurately schedules patient follow-up physician appointments in the appropriate scheduling system using guidelines and requirements identified within the system
• 2. Insurance: Demonstrates a solid understanding of the various insurance carriers' options and completes insurance entry accurately, satisfying billing requirements to ensure a payable account
+ 2.1 Exhibits a comprehensive understanding of the online eligibility and insurance website systems including understanding patient's eligibility, determining benefits and co-pay amount due. Documents appropriate computer system according to departmental policies
• 3. Complex Appointment Scheduling: Coordinates and supports tasks related to patient appointment scheduling
+ 3.1 Maintains a strong working knowledge of the Epic system with the ability to schedule complex and time sensitive appointment types
• 4. Resource Management/Quality Assurance (QA): In collaboration with Supervisor/Manager, provides support in the other outpatient service department and routinely provides coverage as necessary to maintain skill sets
+ 4.1 Independently optimizes time related to patient appointment scheduling
• 5. Customer Service: Provides service excellence as outlined in the Health System Standards of Professional Behavior
+ 5.1 Ensures smooth functioning of all processes in order to guarantee a positive patient experience by acknowledging and receiving patients and visitors to the department following the YNHHS Standards of Professional Behavior
• 6. Template Management - Addendum: Works with the clinical staff to maintain Epic Templates for various locations
+ 6.1 Meets with clinical team to plan and create scheduling templates for various disciplines in the Epic System
• 7. Performs other duties as assigned by Management
+ 7.1 As needed, reviews and updates all training materials and provides training to other staff members

Qualification

Epic systemMedical insurance knowledgeAppointment schedulingCustomer serviceInterpersonal skillsMultitaskingTraining skillsComputer skillsProblem solvingCritical thinkingWritten communicationOral communicationTeam oriented

Required

High school diploma or GED required
Two (2) to three (3) years' work experience in a customer service environment preferably in hospital/physician office with emphasis on registration, scheduling, and all aspects of medical insurance and eligibility requirements
Self-directed, well organized and exhibiting team oriented skills with the ability and desire to educate and advocate for patients and their families
Must be able to multitask and reprioritize in response to fluctuations in volume
Strong interpersonal skills and ability to build rapport with a wide variety of individuals including clinical staff in order to meet the patient's needs
Excellent investigative, critical thinking and problem solving skills
Intermediate computer skills and the ability to adapt to various programs/systems
Demonstrated proficiency in understanding registration work queues that affect workflow
Must be able to provide training or in-service to other staff and areas within the department and Hospital
Consistently demonstrates effective written and oral communication skills in coordination with the Standards of Professional Behavior with the ability to communicate complex requirements across clinical and financial disciplines

Preferred

Associate degree preferred
Experience in a customer service environment preferably in hospital/physician office with emphasis on registration, scheduling, and all aspects of medical insurance and eligibility requirements preferred

Company

Yale New Haven Health

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Yale New Haven Health is making it easier for people to access the latest medical treatments, advanced research and innovations through our five outstanding hospitals – Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial and Westerly – and our affiliation with the prestigious Yale University and its highly-ranked Yale School of Medicine.

H1B Sponsorship

Yale New Haven Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
2022 (4)
2021 (6)
2020 (4)

Funding

Current Stage
Late Stage

Leadership Team

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Christopher O’Connor
Chief Executive Officer
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Oliver Mayorga
SVP, Chief Medical Officer - Yale New Haven Health, Lawrence + Memorial Hospital/Westerly Hospital
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Company data provided by crunchbase