Under limited supervision, the Patient Access Specialist II initiates, obtains, and verifies authorizations for scheduled services based on scheduled procedure and specific treatment protocols. Works in collaboration with clinical areas to determine authorization requirements for scheduled services.  Verifies demographic, clinical, financial, and insurance information during the authorization process.  Determines liability on patient accounts and works with patients and representatives to identify financial assistance. Accepts point of service payments or provides guidance for payment options and clears the patient for service delivery.

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

Education:

High school diploma or an equivalent combination of education and experience.  Associate degree in Accounting or Business Administration highly desired.

Experience:

2+ years' experience in a customer service role with financial responsibilities is required. Experience in health care, insurance, or managed care industries is highly preferred.

Experience performing medical claims processing, financial counseling and clearance, or accounting is also highly preferred.

REQUIRED SKILLS AND ABILITIES

Must be proficient with the core offerings of the Microsoft suite (Word, PowerPoint, Excel).

Excellent communication skills both verbal and written.

Able to effectively educate and counsel patients and families on complex finance and benefit options.

Excellent critical thinking, interpersonal, and problem-solving skills.

Must be able to calculate patient liability and exercise judgement when responding to customer questions and concerns.

Demonstrates patience in dealing with ordinary, arduous or emotional patients. Excellent data entry and organizational skills.

Must be accurate and possess high level of attention to detail. Able to work independently and have good time management skills. High level of initiative.

Able to work concurrently on a variety of tasks/projects in a fast-paced environment that is sometimes stressful with individuals that have diverse personalities and work styles.

Able to set and organize work priorities and then adapt as business needs change.

Knowledge of basic accounting principles preferred.

Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferred.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.