Patient Access Specialist I jobs in United States
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Bayhealth · 23 hours ago

Patient Access Specialist I

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader, and they are seeking a Patient Access Specialist I. The PAS I will perform complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency, ensuring a positive experience for patients during the registration process.

Emergency MedicineHealth CareHospital
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H1B Sponsor Likelynote

Responsibilities

Customer Service; meets the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information
Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secures patient signatures for required forms
Enter data related to procedures, tests, and diagnoses (when applicable). Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines
Obtains and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement
Identify the patient using two factor identification. Complies with EMTALA regulation when creating the quick registration account (when applicable)
Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues
As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies
Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their co-payments, deductibles, co-insurance, deposit amounts and outstanding balances. Documents payments/actions in the EHR and provides the patient with a payment estimate (when applicable). Follows cash drawer balancing procedures, as appropriate, reconciles payments against deposit totals
Review and resolve account errors in assigned work queues
Maintain qualitative and quantitative individual and team performance targets
Responds to disaster and mass casualty situations in a calm and appropriate fashion. Maintains and understands the emergency management processes and procedures specific to that unit
Adheres to department and system policies. Interact with co-workers, visitors, and other staff consistent with the Bayhealth values
Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits
Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process. Accurately complete reception duties in accordance with policies
All other duties as assigned within the scope and range of job responsibilities

Qualification

Patient registration experienceCustomer serviceMedical terminologyData entryCommunication skills

Required

Education: High School Diploma or GED
Experience: Required: One (1) year in a customer service role
Credential(s): None Required

Preferred

Experience in healthcare or medical office environment
Knowledge of medical terminology
Education: Associate Degree Associate Degree Business Administration Related field

Benefits

Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Company

Bayhealth

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Bayhealth is an advanced non-profit healthcare system that provides penn medicine for heart, vascular, cancer and orthopaedics.

H1B Sponsorship

Bayhealth 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
2025 (20)
2024 (25)
2023 (17)
2022 (16)
2021 (12)
2020 (10)

Funding

Current Stage
Late Stage

Leadership Team

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Terry Murphy
President and Chief Executive Officer
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Mike Tretina
Senior Vice President And Chief Financial Officer
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Company data provided by crunchbase