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Patient Access Specialist
Posted on Sept. 11, 2025
- Tifton, United States of America
- No Salary information.
- Full Time
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- Create a patient/case record in the ADT registration system in accordance with established policy and procedures for inpatient, ambulatory surgery, non-patient laboratory, radiology and/or other diagnostic ancillary tests/services.
- Answer telephones and transfer calls to appropriate personnel and departments.
- Schedule outpatient hospital exams system-wide as ordered by physicians in an accurate and timely manner, in accordance with department standards and protocols.
- Analyze insurance information/reason for admission or encounter to determine pre-certification and/or pre-authorization requirements.
- Contact insurance carriers to obtain pre-certification and pre-authorization numbers. Contact patients/providers offices as needed to verify/obtain data.
- Ensure the patient record is updated with accurate information and the insurance record reflects all appropriate insurance, appropriately prioritized. (coordination of benefits)
- Ensure all registrations are completed prior to discharge.
- Ensure all deductibles and co-payments are collected in accordance with insurance benefits and departmental policy for inpatient and outpatient population
- Ensure patients are apprised of advanced beneficiary notice, as appropriate and in accordance with Medicare Medical Review Policies.
- Provide cross coverage to other Patient Access locations as needed.
- Assist in other projects as needed and as assigned by department leadership.
- Promote excellent customer service to internal and external customers.
- Providing cost estimates for all required patients system-wide to ensure compliance with the Good Faith Estimate Act.
- Maintaining productivity standards as outlined by leadership.
- Adhering to Point of Service (POS) collections standards as outlined by leadership.
- Verifies that the minimum data set for all orders is obtained prior to scheduling/registration
- Scanning in of valid forms of ID, Insurance card, and Physician Order
- Informs patient of Consent for Treatment, Patient Bill of Rights, Joint Privacy Practice, and other required admission forms at the point of service.
- Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. (“TRHS”) policies as they presently exist and as they change or are modified.
- Understands and adheres to: TRHS’ compliance standards as they appear in TRHS’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
- Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
- Offers suggestions on ways to improve operations of department and reduce costs.
- Attends all mandatory education programs.
- Improves self-knowledge through voluntarily attending continuing education/certification classes.
- Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
- Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
- Volunteers/participates on hospital committees, functions, and department projects.
- Manages resources effectively.
- Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
- Makes good use of time so as to not create needless overtime.
CHAA certification preferred.
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