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Sr. Patient Access Specialist - Mercy Health St. Anne - Full Time

Requisition R100492 Market Toledo, Ohio Department SS Revenue Cycle - Legacy MH Acute Shift Days/Evenings Schedule Full-time

Thank you for considering a career at Mercy Health

Shift/Schedule

Mon-Fri, 11a-730pm with the availability to work any shift

Possible weekends/holidays if need to help out

JOB SUMMARY

The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Mercy Health. As a Senior Patient Access Specialist , additional duties can include training, scheduling, and other leadership responsibilities. They are responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes as that are being performed across the entire organization.

Mission/Core Values: It is expected that all of the duties and responsibilities of this position will be performed in  a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion: seeks to understand, listen and explain; Advocate: is the voice for the vulnerable; Respect: demonstrates the highest regard  for and welcomes all people; Excellence: commits to the highest  standard of quality care, joyful service, and teamwork) and in a manner that reflects the core values of Mercy  Health which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service. All supervisors and above are expected to model the organizational mission and values through their daily actions, decision making and priority setting. All supervisors and above are expected to develop, implement and  monitor short and long range plans to meet or  surpass standards  consistent with the overall strategic plan.

ESSENTIAL FUNCTIONS

  • 40% - Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Mercy Health policies, and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable.

  • 10% - Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.

  • 10% - A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of revenue cycle.

  • 5% - A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.

  • 10% A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and leadership. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible to come in to work at unscheduled times to cover for staffing issues.

  • 5% - Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Mercy Health policies, and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership. Sr. Patient Access Specialists will be held accountable for point of service goals as assigned.

  • 5% - Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.

  • 5% - Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.

  • 5% - Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.

  • 5% - Perform other assigned duties as assigned

The above is intended to describe the general content and functions of this job. It is not to be construed as an exhaustive list of all duties or responsibilities. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. The job description is subject to continual revisions as needed for patient care. Due to the services and care provided by this institution, personnel may be requested to serve in related capacities as determined by their qualifications in a different unit, department, and campus, in an effort to not disrupt patient care and continue to provide a safe environment to our patients. All employees are expected to follow Mercy Health policies and procedures, maintain high standards of safe work performance, and maintain good attendance and punctuality.

MINIMUM EDUCATION

Required Minimum Education: High School Diploma or GED
Preferred Education: 2 year/Associates Degree

Specialty/Major: Healthcare administration, business administration, or related field.

LICENSURE/CERTIFICATIONS(must be non-expired/active unless otherwise stated):

Preferred: Certified Healthcare Access Associate (CHAA) and or CRCR, Certified Revenue Cycle Representative - Preferred - not required

MINIMUM QUALIFICATIONS

Minimum Years and Type of Experience: 2-3 years of experience in patient access or leadership role.

Other Knowledge, Skills and Abilities Required: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes.

PHYSICAL REQUIREMENTS

  • Performs repetitive tasks/motions

  • Hears alarm bells, telephone, and other sounds

  • Hears normal conversation

  • Have good manual dexterity

  • Have good eye

  • hand foot coordination

PHYSICAL DEMANDS

  • Standing - 67-100%

  • Walking - 67-100%

  • Sitting - 34-66%

  • Balancing - 34-66%

  • Reaching above head - 1-33%

  • Lift above shoulder - 1-33%

  • Climbing - 0%

  • Crouching/ Squatting - 1-33%

  • Bending - 34-66%

  • Crawling - 0%

  • Twist at waist - 34-66%

  • Kneeling - 1-33%

  • Push/Pull with force < 50 lbs. - 34-66%

  • Push/Pull with force > 50 lobs - 0%

  • Reaching above shoulder - 1-33%

  • Lift/Carry Up to 50 lbs -1-33%

  • Lift from floor level up - 1-33%

  • Lift from waist level up - 1-33%

  • Lift above head - 1-33%

  • Driving - 1-33%

MENTAL REQUIREMENTS

  • Reads and interprets written/oral instructions.

  • Sets and meets deadlines, prioritizes work and works independently.

  • Expresses or exchanges ideas by means of oral or written communications.

  • Makes decisions which have significant impact on the immediate work unit and monitor impact outside immediate work unit.

  • Organize thoughts and ideas into understandable terminology.

  • Must be flexible and able to adapt to change.

  • Identifies and understands issues and problems.

  • Examines data and draws logical conclusions demonstrating the ability to apply high levels of critical thinking and understanding.

WORKING CONDITIONS

  • Periods of high stress and fluctuating workloads may occur.

  • May be exposed to physical altercations and verbal abuse.

  • Required to car travel to off site locations, occasionally in adverse weather conditions.

  • May be exposed to high noise levels and bright lights.

  • May be exposed to limited hazardous substances or body fluids.

  • Potential exposure to infectious organisms.

  • May be constantly interrupted; requiring changing from one task to another of different nature without loss of efficiency or composure.

  • May have periods of constant interruptions.

  • Prolonged periods of working alone may occur.

Mercy Health is an equal opportunity employer.

We’ll also reward your hard work with:

  • Comprehensive, affordable medical, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • An employer-matched 403(b) for those who qualify.
  • Paid time off
  • Educational Assistance
  • And much more

Scheduled Weekly Hours:

40

Work Shift:

Days/Evenings

Department:

SS Revenue Cycle - Legacy MH Acute

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for  Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com

Apply Now
Luis F., RN

I wanted to get into a career where I’m happy to go to work.

Luis F. Registered Nurse
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