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PATIENT ACCESS SPECIALIST

Overview

 

Patient Access Specialist, Centralized Scheduling

Full Time, 80 Hours Per Pay Period, Day Shift

 

 

Covenant Health Overview:

Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. 

 

Position Summary: 

The Patient Access Specialist coordinates the verification, scheduling, and pre-registration of all outpatient diagnostic procedures, as defined under the Centralized Scheduling Department’s purview. Responsibilities include the accurate collection and entry of required financial and demographic patient information, scheduling queue management, verification of benefits, scheduling, and payment collection. 

 

 

Recruiter: Kathleen Rice || kkarnes@covhlth.com || 865-374-5386

Responsibilities

  • Collects patient payment of financial responsibility over the phone, provides receipt of payment to patient, and documents payment as outlined in the department’s workflow
  • Recommends to the Supervisor modifications to existing policies and procedures that support Covenant Health’s values and are intended to increase efficiency and promote data integrity
  • Notifies the Supervisor/Financial Counselor of any potential self-pay patient, worker’s compensation patient, or non-covered procedures
  • Schedules diagnostic procedures utilizing the eCare (Cerner) scheduling system
  • Verifies all orders are completed and signed
  • Verifies insurance benefits and verifies pre-certification from third-party payers
  • Has extensive knowledge of insurance plan and pre-certification requirements
  • Accurately documents relevant demographic, clinical, and financial information required for scheduling, pre-registration, and insurance verification using eCare (Cerner), TransUnion, and STAR
  • Attempts to collect payment of financial responsibility for all patients to improve overall collections and cash flow
  • Reports pertinent procedural changes/updates to appropriate leadership
  • Professionally interacts with patients, providers, office staff, and hospital department staff members
  • Demonstrates ability to keep up with regulatory and insurance requirements, ensuring that changes are incorporated into daily job functions
  • Ensures the scheduling process is handled in a professional and courteous manner
  • Schedules on average 25 appointments per day
  • Clearly communicates all necessary information to patients, e.g. clinical preps as outlined in the eCare scheduling guidelines, ABNs, financial responsibility, etc.
  • Recognizes situations that necessitate managerial intervention and seeks out appropriate resources
  • Promotes good public relations for the department and the organization
  • Attends monthly staff meetings and participates in discussions regarding work performance and departmental/hospital updates
  • Displays competence in the use of all IT Systems related to insurance verification, scheduling, patient registration, and scheduling
  • Monitors appointment schedules daily for cancellations, reschedules, stats, or other changes; communicates with all departments impacted
  • Shows initiative to cross-train in all duties related to departmental functions
  • Activates manual systems for computer network downtime, printing schedules in advance when necessary
  • Notifies leadership of unscheduled downtime occurrences
  • Follows policies, procedures, and safety standards.  Completes required education assignments annually.  Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

Qualifications

Minimum Education:          

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.  Preference may be given to individuals possessing a Bachelor’s degree in a directly-related field from an accredited college or university.

 

Minimum Experience:         

Experience in hospital setting or financial area required. Medical terminology, customer service, keyboarding, and ability to use several software systems preferred.

 

Licensure Requirement:      

None

Average salary estimate

$47500 / YEARLY (est.)
min
max
$40000K
$55000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About PATIENT ACCESS SPECIALIST, Covenant Health

Are you ready to make a meaningful impact in healthcare? Join Covenant Health as a Patient Access Specialist in Knoxville! As part of our centralized scheduling team, you'll play a crucial role in ensuring patients receive the timely care they deserve. Your responsibilities will revolve around verifying, scheduling, and pre-registering outpatient diagnostic procedures, which involves accurately collecting and entering patient information. We're a community-owned integrated healthcare delivery system and the largest employer in the area, committed to enhancing the quality of life for over two million patients annually. You'll be managing scheduling queues, verifying insurance benefits, and collecting payments, all while showcasing your excellent customer service skills. As part of a team dedicated to operational excellence, you will help implement improvements to existing workflows to promote efficiency. Further, you'll handle around 25 appointments daily and keep communication clear and precise with patients and staff alike. Whether it’s using our eCare system or staying updated on regulatory requirements, your adaptability and resourcefulness will shine. If you're passionate about delivering exceptional service in a professional environment, then Covenant Health is looking for YOU to join our fantastic team. Let's work together to ensure our patients have the best experience possible, and if this sounds like the right fit for you, reach out and get started on your rewarding journey with us!

Frequently Asked Questions (FAQs) for PATIENT ACCESS SPECIALIST Role at Covenant Health
What are the main responsibilities of a Patient Access Specialist at Covenant Health?

As a Patient Access Specialist at Covenant Health, your primary responsibilities include coordinating the verification, scheduling, and pre-registration of outpatient diagnostic procedures. You'll oversee the accurate collection of financial and demographic information, manage scheduling queues, verify insurance benefits, and ensure the overall patient experience meets high standards. Your role is crucial in creating a smooth appointment process for patients, while also contributing to the efficiency of our health services.

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What qualifications are needed to become a Patient Access Specialist at Covenant Health?

To become a Patient Access Specialist at Covenant Health, candidates are typically required to possess a high school diploma or GED. While there is no specific formal education mandated, preference may be given to those with a Bachelor’s degree in a related field. Demonstrating experience in a hospital or financial setting is essential, as is familiarity with medical terminology and the ability to navigate computer systems efficiently.

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How important is customer service in the Patient Access Specialist role at Covenant Health?

Customer service is paramount for the Patient Access Specialist role at Covenant Health. This position involves regular interactions with patients and healthcare providers, so the ability to provide exceptional service is crucial. You'll need to communicate effectively and empathetically with patients, ensuring they understand their financial responsibilities and the scheduling process, while maintaining professionalism throughout their healthcare journey.

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Can you explain the scheduling process a Patient Access Specialist follows at Covenant Health?

The scheduling process for a Patient Access Specialist at Covenant Health includes managing appointment schedules through the eCare (Cerner) system, verifying all orders are completed and signed, and ensuring timely pre-certification with insurance providers. You will be scheduling on average 25 appointments daily while communicating necessary prep information to patients and keeping all relevant departments informed of any changes.

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What software systems do Patient Access Specialists use at Covenant Health?

Patient Access Specialists at Covenant Health utilize various software systems to fulfill their responsibilities. Primarily, the eCare (Cerner) scheduling system is used for managing patient appointments and verifying orders. Additionally, systems like TransUnion and STAR play a role in verifying insurance and financial information, so proficiency in using multiple software applications is important for success in this role.

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Common Interview Questions for PATIENT ACCESS SPECIALIST
How do you handle difficult conversations with patients?

Handling difficult conversations with patients is about empathy and clear communication. Start by listening actively to their concerns, validating their feelings, and providing clear information about their options. Maintain a calm demeanor, and assure them that you are there to assist. Showing genuine care can often diffuse tension and foster trust.

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Can you describe your experience with insurance verification?

When discussing your experience with insurance verification, focus on specific instances where you successfully navigated the process. Mention your familiarity with different insurance plans, the importance of accuracy in the verification process, and your skills in utilizing software to retrieve necessary information promptly.

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What steps do you take to ensure data integrity in patient records?

To ensure data integrity in patient records, I prioritize accuracy in every data entry task and follow established workflows meticulously. Regularly cross-checking information and maintaining open communication with team members also helps to minimize errors. Additionally, I am proactive about seeking reminders for policy updates that affect record-keeping.

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How do you prioritize tasks when handling multiple patients?

Prioritizing tasks involves efficient organization and a keen understanding of patient needs. I identify urgent cases requiring immediate attention and group similar tasks together to streamline my workflow. Utilizing scheduling tools helps me manage appointments dynamically while ensuring that each patient receives adequate attention.

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Tell me about a time when you improved a process in your previous position.

In my previous role, I identified a repetitive bottleneck in our scheduling process leading to delays. I proposed a new system for tracking appointments, which allowed us to reduce scheduling errors significantly. This improved not only our efficiency but also enhanced patient satisfaction.

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What do you think is the biggest challenge for a Patient Access Specialist?

The biggest challenge for a Patient Access Specialist is managing the often-high volume of calls and appointments while maintaining a positive patient experience. Balancing efficiency with empathy requires strong organizational skills and the ability to think quickly to address varying patient needs.

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Why are you interested in working at Covenant Health?

I am interested in working at Covenant Health because of its commitment to community care and its impressive track record as a leading healthcare provider. The opportunity to collaborate with a dedicated team focused on patient well-being aligns perfectly with my professional goals and values.

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How do you keep up with changes in healthcare regulations?

To stay updated with changes in healthcare regulations, I follow industry news through reliable sources and engage in continuous education. Attending trainings and webinars also enhances my understanding, which allows me to adapt my practice according to the latest guidelines efficiently.

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How do you maintain a positive environment while dealing with challenging situations?

Maintaining a positive environment during challenging situations is about perspective and attitude. I strive to stay calm and solution-focused, encouraging open dialogue amongst team members. Positivity can be contagious; fostering a supportive atmosphere helps all staff remain engaged and motivated.

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What are your long-term career goals as a Patient Access Specialist?

My long-term career goals as a Patient Access Specialist include advancing my understanding of healthcare operations and potentially moving into a supervisory or management role within patient access services. I value continuous improvement and would love to explore opportunities for further education and professional development within Covenant Health.

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DATE POSTED
April 5, 2025

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