Patient Access Specialist I

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand‑alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Smyrna Primary Care, DI and Emergency

Status: Per Diem 0 Hours

Shift: Variable

SALARY RANGE: 17.40 - 26.10 HOURLY

General Summary: Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process including point of service payments. Provides payment estimates for out‑of‑pocket costs. In this role the PAS I is assigned to one department/location. The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one‑year patient registration experience in the assigned department is required for consideration for PAS II.

Responsibilities:

• Customer Service; meet the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.
• Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secure patient signatures for required forms.
• Enter data related to procedures, tests, and diagnoses (when applicable). Determine the need for medical necessity and follow the advanced beneficiary notice process when appropriate based on pre‑established guidelines.
• Obtain and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
• Identify the patient using two‑factor identification. Comply with EMTALA regulation when creating the quick registration account (when applicable).
• Ensure authorizations (pre‑certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
• As appropriate, complete Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
• Perform point of service collections: meet monthly collection goals, have financial conversations with patients as it relates to their co‑payments, deductibles, co‑insurance, deposit amounts and outstanding balances. Document payments/actions in the EHR and provide the patient with a payment estimate (when applicable). Follow cash drawer balancing procedures, as appropriate, and reconcile payments against deposit totals.
• Review and resolve account errors in assigned work queues.
• Maintain qualitative and quantitative individual and team performance targets.
• Respond to disaster and mass casualty situations in a calm and appropriate fashion. Maintain and understand the emergency management processes and procedures specific to that unit.
• Adhere to department and system policies. Interact with co‑workers, visitors, and other staff consistent with the Bayhealth values.
• Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
• Patient flow (as applicable) – maintain efficient patient flow in the registration and check‑in process. Accurately complete reception duties in accordance with policies.
• All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: High School Diploma or GED
• Credential(s): None Required
• Experience: One (1) year in a customer service role

Preferred:

Experience in healthcare or medical office environment. Knowledge of medical terminology.

Preferred Education and Experience:

• Education: Associate Degree in Business Administration or related field

To view a full list of all open positions at Bayhealth, please visit: