Patient Access Specialist

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Full-Time Benefit Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

7087 Chronic Disease Mgmt Ctr-CDMC

Ensures high quality work of the registration process for patient care services with emphasis on service excellence to customers.

QUALIFICATIONS

Education
Required: High school diploma
Preferred: College courses


Experience
Preferred: Prior patient access, registration, insurance benefit and medical terminology experience.

Knowledge/Skills/Abilities
Excellent communication, customer service and data input skills.

Department Specific Requirements

For Patient Access-Emergency Dept: requires Kaweah Health approved crisis intervention training within 60 days of hire/transfer.

For Chronic Disease Mgmt Clinic: must be bilingual in Spanish.

For Rural Health Clinics: requires Heartsaver AED.

For Rural Health Clinics, Urgent Care Centers and GME-Family Medicine Center: prefer bilingual in Spanish, need to be determined by hiring leader at time of job opening based on clinic needs.

Testing
For Rural Health Clinics & GME-Family Medicine Center (when testing required), and Chronic Disease Mgmt Clinic: Requires successful completion of the Language Resource Assistant (LRA) test at a General level. LRA is a language assessment test that demonstrates written and oral interpretation/translation technique skills. Test will be administered if selected.

JOB RESPONSIBILITIES

Essential

Maintains confidentiality and protects sensitive data at all times.

Adheres to organizational and department specific safety standards and guidelines.

Addendum (essential for specific dept)

REGISTRATION OR CUSTOMER SERVICE:

Accurately completes the admission, registration or pre-registration of a patient presenting for services. Obtains Advance Directive for Medical Record. Provides patient with written material as required by State and Federal law. Provides patient with Privacy Notice for HIPAA requirements. Obtains appropriate signature and documents accurately in Patient Management system as required for compliance. Must be accountable for the QA of own work. Utilizes all computer programs and procedures to ensure accuracy. Properly identifies correct patient and affixes an armband for positive identification of patient. Inventories patient belongings. Answers department phones, timely, and professionally. Assists customers timely with patient access concerns. Routes call as appropriate to other staff or location. Provides support for various floors as needed, in the absence of a unit secretary. Is productive during slow times. Ensures that all efforts provide value to and meet the needs of departmental customers. Responsible for securing patient belongings in accordance to the patient belongings policy. Works with physicians’ office to obtain orders and assist in obtaining authorization. Understands Medicare coding, diagnosis codes, CPT codes to assure proper billing and use of ABN in order to provide as necessary to patient. Proficiency in the applicable programs. Thoroughly documents activity. Ensures patient has directions to facility/place of service. Answers all inquiries from all customers, both internal and external, in a timely manner whether the inquiries are via telephone, email, fax and in person. Informs patient of necessary requirements, financial obligations, financial discounts and pertinent information regarding their exam. Works closely with Financial Counselors to evaluate patient’s financial needs, making appropriate determinations and referral to appropriate agencies for assistance to ensure reimbursement to the Kaweah Health. Obtains any signatures necessary including but not limited to HIPAA, COA, etc. Collects any applicable copayment or deductible and enters it into the patient payment system for a receipt. Answers quest