Description

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: * We serve faithfully by doing what's right with a joyful heart. * We never settle by constantly striving for better. * We are in it together by supporting one another and those we serve. * We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The Patient Access Associate I provides excellent customer service. They verify and prepare patient accounts for billing to maximize payments. They review and verify payment methods like insurance, self-pay, and agency. They verify patient and insurance information. They work with patients to set up payment arrangements and apply for assistance programs. They assist in collecting copayments and deductibles and solve basic billing inquiries. Essential Functions of the Role * Obtains/confirms and enters/updates demographic and insurance information for all patients. * Consistently confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. * Secures and/or explains copies of insurance card(s), forms of ID, and signature(s) on all required forms. * Consistently completes the Medicare Secondary Payer (MSP) questionnaire, if applicable. * Verifies insurance to establish coordination of benefits and obtains authorization and/or referrals as required. * Accurately updates the emergency department room tracking system, if applicable. * Follows procedures when identifying a patient and applying the patient identification bracelet, if applicable. * Registers patients during downtime following downtime procedures and enters data into registration system immediately upon system availability. * Verifies insurance coverage, screens patient for potential funding sources, and sets expectations for reimbursement of services. * Verify financial information to establish insurance coordination of benefits. Check pre-certification or prior-authorization requirements by contacting the insurance company or using other technology. * Informs self-pay patients of prepayment requirements or screens for funding sources. * Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous and current balances. * Refers potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement. * Maintains departmental and/or singular reports as required. * Coordinates with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues. * Assures accurate and timely response to patient financial inquiries related to their care at Scott & White. * Provides an escalation pathway for account issues which cannot be resolved. * Explains/answers patient billing inquiries and interprets data to resolve accounts. * Explains alternative medical financing. Assists in completing applications and contracts to meet patient needs. Assures maximum reimbursement to Scott & White. * Plans, organizes, and accomplishes tasks according to priority to effectively meet departmental and patient needs. * Collects, posts, and reconciles all payments from patients. * Consistently collects patient payments and provides receipt accurately completing all required fields. * Accurately posts all payments on system. * Accurately reconciles receipts with cash collected and completes required balancing forms. * Consistently documents patient account appropriately for reconciliation purposes. * Documents patient account notes for all interactions/transactions. * Images all documents as defined by leadership. * Performs other position appropriate duties as required in a competent, professional, and courteous manner. Key Success Factors * Computer proficient. Excellent verbal communication skills. Ability to handle difficult situations and customers. * Previous office, medical practice, hospital registration, or customer service experience. * Ability to establish patients' primary, secondary, and tertiary payer sources. Knowledge of all major governmental and non-governmental payer sources. Belonging Statement We believe that all people should feel welcomed, valued and supported. *QUALIFICATIONS* * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 1 Year of Experience