Patient Access Specialist - Specialty Clinic

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FRANKLIN GENERAL HOSPITAL

Posted 3 months ago

Full Time

Hampton, Iowa

In Person

Smart Summary

Responsibilities

The Patient Access Specialist coordinates patient scheduling, manages referrals, and handles prior authorizations and insurance verification for a specialty clinic. They serve as the primary administrative point of contact for patients and providers to ensure efficient clinic workflow.

Qualifications

You have a high school diploma or equivalent and strong communication and organizational skills. Experience with referrals, prior authorizations, insurance verification, and medical terminology is preferred to succeed in this role.

Must Have Skills for ATS

EHR

HIPAA

Job Description

Patient Access Specialist – Specialty Clinic

Position Summary

The Patient Access specialist is responsible for supporting the specialty clinic by coordinating patient scheduling, managing referrals, completing prior authorizations, and verifying insurance coverage. This role ensures efficient clinic workflow while delivering excellent customer service to patients, providers, and external partners.

Primary Responsibilities

  • Schedule patient appointments for specialty clinic services
  • Coordinate incoming and outgoing referrals with providers and external organizations
  • Complete prior authorizations in accordance with payer requirements
  • Perform insurance verification to ensure eligibility and coverage accuracy
  • Conduct patient outreach calls related to appointments
  • Maintain accurate and timely documentation within the electronic health record (EHR)
  • Assist with clinic workflow coordination and provider scheduling needs
  • Serve as a point of contact for patients regarding scheduling and administrative questions
  • Ensure compliance with all regulatory, privacy (HIPAA), and organizational standards

Qualifications

Required:

  • High school diploma or equivalent
  • Strong communication and organizational skills

Preferred:

  • Experience with referrals, prior authorizations, or insurance verification
  • Experience in a healthcare or medical office setting
  • Knowledge of medical terminology

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FRANKLIN GENERAL HOSPITAL

Franklin General Hospital is a MercyOne affiliate located in Hampton, Iowa. Our clinic, hospital and ancillary services provide a continuum of care for individuals in Franklin and surrounding counties. Our colleagues strive to provide personalized 5 star care to every individual. Franklin General Hospital is fortunate to be a small facility where we care for our consumers like they are our family and friends (because many of them are), while also having the support of the entire MercyOne health care network.
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