Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center
is the leading destination for world-class health care in Palm Beach County and
the greater Treasure Coast.
Outstanding physicians, state-of-the-art facilities, innovative techniques and a
commitment to serving the community enables Jupiter Medical Center to meet a
broad range of patient needs. Jupiter Medical Center is the only hospital in
Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star
quality and safety rating from the Centers for Medicare & Medicaid Services
(CMS).
Education
* High School Graduate or Equivalent
Experience / Qualifications
* BLS certification through the American Heart Association for Healthcare
Providers.
* Billing and Coding Certification preferred
* Experience required in using EMR systems, insurance verification,
eligibility, and electronic billing.
* Requires general and specific knowledge of health insurance plans and
interpretation of health insurance benefits.
* Ability to maintain confidentiality.
* Experience in a customer support role.
* Medical terminology knowledge.
* Proficient skills in computer applications such as Microsoft Office.
* Ability to set priorities and manage time effectively.
* Flexible, service oriented, and dedicated.
* Exceptional communication skills both verbally and in writing.
* Superior organizational skills, attention to detail, and able to multi-task.
* Strong interpersonal skills, listening and ability to carefully follow
directions.
Position Summary
The Patient Access Specialist will be responsible for delivering a dynamic
customer experience to all customers and demonstrate a strong commitment to
service excellence.
The Patient Access Specialist is responsible for obtaining demographic,
insurance, and medical information to ensure an accurate and complete
registration.
* Performing insurance verification, data collection and documentation.
* Maintains proper documentation in all systems.
* Identifying patient financial responsibilities and collecting applicable
monies.
* Acting as liaison to all internal and external customers to facilitate access
to hospital services.
* Secures all necessary documentation to register the patient's visit. Process
authorizations electronically, utilizing payer portals, fax, or telephone
working with the payers to secure authorizations.
* Works cooperatively and provides coverage for responsibilities of co-workers
when assigned or as need arises.
* Answers telephone, responds to questions, directs calls, and documents
messages.
* Develops and promotes the use of effective methods of communicating with
physicians, managers, peers, trainees, and staff on a regular basis.
* Maintains the confidentially of patient’s records and any related work.
* Effectively communicate needs of Physicians and staff in requirements of
documentation for proper reimbursement.
* Checks for data errors and uses them as examples for educating team members.
* Adhere to contractual requirements of Medicare, Medicaid, and managed care
plans.
* Run daily update and insurance exception reports.
* Complete all end of day responsibilities.
* Performs other duties as assigned.
Team Member Competencies
Establishing Relationships
Builds effective networks, working relationships, and alliances in order to
collaborate effectively within department and organization. Can relate to all
kinds of people regardless of background; find topics and common interests that
can be used to build rapport with others.
Peer Support
Provides guidance and feedback to help others strengthen knowledge/skills needed
to accomplish tasks, solve problems, and perform effectively within the team.
Inspiring and Motivating Others
Fosters commitment and cohesiveness by facilitating cooperation and working as a
team within the organization toward goal accomplishments. Work well with
others, build consensus, and ensure cooperation to complete tasks and positive
workflow.
Demonstrating Emotional Intelligence
Exercises self-leadership, self-awareness, and self-regulation; manages emotions
so that they are expressed appropriately; leads others by showcasing
adaptability, empathy, and social skills.
Acting with Integrity
Interacts with others in a way that is seen as direct and truthful; ensures
confidence in individual and organizational motives and representations. Acts
in a way that is consistent with personal and organizational values by keeping
confidence, promises, and commitments. Clearly states goals and beliefs;
informs people of their true intentions, does what they say they will do;
follows through on commitments.
Being a Champion for Change and Innovation
Supports people in their efforts to try new things. Things creatively,
generates novel and valuable ideas and uses these ideas to develop new or
improved processes. Accepts new ways of doing things and adapts to change.
Communicating Effectively
Speaks and writes clearly, conveys information in a concise, organized, and
logical manner. Is adept at tailoring the message to fit the interests and
needs of the audience. Listens attentively and exercises tact, discretion, and
diplomacy when interacting with members of the department and organization.
Promoting Diversity and Inclusion
Treats all people with dignity and respect. Demonstrates an open-minded
approach to understanding people regardless of their gender, age, race, national
origin, religion, ethnicity, disability status, or other characteristics.
Challenge’s bias and intolerance. Develops all-inclusive groups in the realms
of social interaction and communication. Shows respect for the beliefs of
others; encourages and promotes practices that support cultural diversity;
discourages behaviors or practices that may be perceived as unfair, biased, or
critical toward people with certain backgrounds.
Physical Requirements
Requires sitting for long periods of time, also stooping, bending, standing, and
stretching. Must have manual dexterity for typing and computer data entry. Able
to work under a stressful environment, work independently, capable of making
sound decisions, be detail oriented, alert, and self-motivated. Ability to
push/pull up to 40lbs., carry and lift up to
20lbs.
Threshold Requirements
* These threshold requirements are required and completed yearly basis
* Annual Joint Commission mandatory education requirements, in-service and
health requirements including attendance at new employee orientation
* TB/PPD Surveillance Program
* Maintenance of required professional licensing and/or certification(s).
This is not necessarily an extensive list of all responsibilities, skills,
duties, requirements, or working conditions associates with the job. While this
is intended to be an accurate reflection of the current job, management reserves
the right to revise the job or require that other or different tasks be
performed when circumstances change. I have reviewed these job requirements and
verify that I can perform all essential functions of this position.