Patient Access Specialist Sr

Job description

Inova 8095 - Fairfax East is looking for a dedicated Patient Access Specialist Sr to join the team. This role will be full-time nights, Tuesday-Sunday.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, & flexible work schedules .

Patient Access Specialist Sr Job Responsibilities:
• Patient Intake, Registration & Documentation: Audits records and documentation for accuracy, troubleshoots discrepancies, and supports escalations.
• Administrative & Technology Operations: Compiles reports, troubleshoots system issues, and supports peers.
• Case Management Tasks: Audits referrals and supports escalations.
• Financial Counseling: Conducts financial reviews and mentors staff.
• Insurance & Contract Coordination: Troubleshoots complex cases and educates peers on insurance contract nuances.
• Inquiries & Patient Concerns: Handles escalations and analyzes trends.
• Kiosk: Analyzes performance and trains staff on patient kiosks.
• Patient Communication & Advocacy: Handles sensitive concerns, audits logs, and advocates for patient needs.
• Referrals: Audits referral workflows and mentors staff.
• Scheduling: Schedules surgeries and verifies readiness.
• Transport: Solves transport issues and audits logs.
• Health Information Management (HIM) Coordination: Liaises with Health Information Management (HIM) on merges and audits medical record numbers (MRNs).
• Utilization Review Coordination: Supports escalations for medical necessity.
• Ensures compliance with HIPAA, OSHA, and other applicable federal and state regulations.
• May perform additional duties as assigned.

Minimum Qualifications:
• Education : High School or GED
• Experience : 2 years of patient access experience

Preferred Qualifications:
Education : Current experience working in Patient Access