Patient Access Specialist - Boulder, CO

Optum
US - Colorado - Broomfield
November 18, 2024

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Patient Access Specialist is responsible for the smooth operation and flow of patients within the registration area. This includes greeting patients, providing information, answering phones, registering patients and entering exam orders as required. They are also responsible for obtaining all demographics, insurance information, appropriate codes, and authorizations from patients (or their representatives) and physicians in a courteous and efficient manner for billing. Other duties pertinent to optimal patient experience, patient flow, and efficient staff utilization are also expected.

Schedule: Monday, Wednesday, Thursday, and Friday, 10 hrs a day. (Monday 7a-5:30p, Wednesday 5:30a-4p, Thursday 7a-5:30pm, Friday 7a-5:30p)

Schedule is subject to change based on business needs.

Location: 4747 Arapahoe Ave., Boulder, CO 80303

Primary Responsibilities:

Interview patient to obtain demographic, billing, and insurance information and complete all registration steps
Locate and process provider requisitions
Determine insurance eligibility
Determine patient payment and collect payment on insured and self-pay accounts
Obtain signatures for necessary paperwork including, but not limited to, financial agreements and medical release, etc.
Demonstrate thorough knowledge of EMTALA regulations
Problem solves account registration issues when working reports and/or patient concerns
Prioritize work according to departmental need
Maintain proficiency on all necessary software modules
Exercise good judgment in referring complex situations to the appropriate leadership team member
Respond to patient questions, concerns and feedback, referring them to appropriate lead or supervisor
Responsible for meeting all competencies as listed on the Competency Based Orientation and regularly scheduled competency check-offs
Employees are expected to comply with all regulatory requirements, including Joint Commission Standards
Is familiar with organization, department, and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials communications, Emergency Preparedness, Infection Control, and Medial Equipment failure
Must adhere to Universal Precautions which includes: a) The use of protective barriers as appropriate;
• gloves
• masks
• gowns
• pocket masks
• safety glasses, b) Handling and disposing of infectious waste appropriately, c) Hand washing as appropriate
Keep up to date with all hospital policies and procedures
Assist with coverage of open shifts when needed
Attend staff meetings and all mandatory meetings as required
Complete required hospital-wide trainings as required
Report all supply needs, work related problems, or injuries to leadership
Read and return all e-mail, phone calls
Responsible for time keeping, clocking in and out according to established guidelines, as well as, reporting absences, leaves, and tardiness according to policy
Ensure that all supplies and forms are stocked in the area
Assists with other duties as requested

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma / GED (or higher)
Ability to work our schedule: Monday, Wednesday, Thursday, and Friday, 10 hours a day (Monday 7a-5:30p, Wednesday 5:30a-4p, Thursday 7a-5:30pm, Friday 7a-5:30p)

Preferred Qualifications:

Experience with Microsoft Office products
Experience in a Customer Service Role
Experience with Medical Records
Experience in a Hospital Patient Registration Department, Physician office or any medical setting
Experience in insurance reimbursement and financial verification

Read the full job description and apply online on the recuiter's web-site

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