Patient Access Specialist Fishersville, VA (Registration Patient Services Representative)

Overview

At Augusta Health your work matters and so do you. Whether youre delivering direct patient care supporting operations or innovating behind the scenes every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job we offer a purpose-driven career in a nationally recognized independent health system located in Virginias scenic Shenandoah Valley.

Learn more about career opportunities on our Careers Page .

Our team members thrive in a supportive culture that values collaboration integrity and excellence. With opportunities across clinical and non-clinical areas Augusta Health is a place where your skills make a difference and your growth is a priority.

Why Join Augusta Health

We believe in taking care of the people who care for our community. Thats why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being career development and work-life balance. Whether youre launching your career or bringing in years of experience we provide the tools resources and encouragement to help empower you to reach your full potential personally professionally and financially.

Explore our Benefits current Hiring Incentives and our Taking Care of Us initiative which embraces Belonging Respect Inclusion Diversity Growth and Equity ( B.R.I.D.G.E. ) to see how we invest in our team members and culture.

Total Rewards & Benefits ( may vary by position )

• Comprehensive insurance package including medical dental and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical ladders shared governance and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking 24/7-armed security for your safety a Health Fitness Reimbursement Program and an onsite credit union and pharmacy
• Competitive pay with shift/weekend differentials
• Employee discounts at the cafeteria gift shop pharmacy and local entertainment venues (i.e. movie tickets)

Full details are available on our Benefits Page .

Job Summary

The Patient Access Specialist is responsible for registering patients into the health information system by interviewing patients to gather and process complete demographic insurance and other visit related information. Responsibilities include accurate identification of patients identifying source of payment verifying insurance eligibility and benefits collecting upfront payment and interacting with patients and family insurers members of hospital departments providers and other team members. Patient Access Specialist is also responsible for providing excellent customer service by demonstrating behaviors that align with the organizations core values and The Augusta Way.

This position plays a critical role in supporting Augusta Healths mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative patient-centered environment and helps drive outcomes aligned with organizational priorities.

Essential Job Duties

Accuracy Compliance Safety

• Captures and enters accurate patient demographic and financial information via direct patient
  contact or via telephone. Adapts interview process to the age of patient/family member. Enter all
  information gathered into the patient health information system. May need to interact with the
  patient in reception area or at the bedside utilizing a Workstation on Wheels (WOW).
• Ensures all appropriate documentation is complete and included on the patient record in
  accordance with Federal and State regulatory guidelines and DNV requirements.
• Verifies insurance and coordinates with pre-authorization team to ensure appropriate insurance
  authorization and / financial clearance is obtained prior to scheduled appointment.
• Communicates the financial liability to patients and collects the patients portion of financial
  responsibility. Refers Financial Advocate as needed.
• Obtains patient / legal representative signature on consent and other registration related forms.
• Completes all registration quality audit worklists in a timely manner.

Physician Orders and Order Entry

• Reviews physician orders for services to ensure required six elements are present for compliance
  coding and billing purposes. Enters orders for lab and / or radiology services into the order entry
  system in accordance with physician order.
• Checks for Medicare medical necessity and obtains patients signature on ABN (Advance
  Beneficiary Notice) when necessary.

Scanning and Documenting

• Scans or imports all necessary documents into the patient record.
• Documents notes necessary to support account follow up.

Bed Center Responsibilities

• Visits patient rooms to explain and obtain signature on Important Message from Medicare and
  Outpatient Status Notice.
• Enter patient bed placement room accommodation service location and status in accordance with
  physician orders for direct admits and transfers from other facilities or ED admissions.
• Performs all status changes according to physician order attending physician changes and bed
  transfers.

Required Qualifications

• Education: High School Diploma or GED
• Licensure/Certification: N/A
• Experience: 1-year previous experience in patient/customer-facing role
• Drivers License: N/A
• Eligibility to work in the United States and meet Virginia state employment requirements

Preferred Qualifications

• Education: N/A
• Licensure/Certification: CHAA certification with National Association of Healthcare Access Management (NAHAM)
• Experience:
  • 1-year previous experience in general clerical office or administrative duties
  • Minimum of 1-year experience in hospital healthcare practice or health insurance company
  • Medical Terminology
• Prior experience in a hospital healthcare system or related service-oriented environment
• Familiarity with Augusta Healths systems workflows or organizational culture is a plus

Competencies Knowledge Skills and Abilities

• Demonstrate active listening
• Ability to communicate concisely professionally and compassionately
• Computer Keyboard / Typing 35 words per minute
• Demonstrate application of good judgment using critical thinking without bias
• Attention to detail and accuracy
• Patient and customer centered positive attitude
• Ability to multi-task prioritize and manage time effectively
• Adaptable to change

About Augusta Health

Augusta Health is an independent nonprofit mission-driven health system located in Fishersville Virginia in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services including Augusta Medical Centera 255-bed facilityand Augusta Medical Group which operates 40 practice locations and four urgent care centers. Our commitment to excellence innovation and compassionate care makes Augusta Health a leading employer and healthcare provider in the region.

Discover more about our history values and community impact on our About Us Page .

Equal Opportunity Statement

Augusta Health recruits hires and promotes qualified candidates for employment without regard to age color disability gender identity or expression marital status national or ethnic origin political affiliation race religion sex (including pregnancy) sexual orientation veteran or military discharge status and family medical or genetic information.

We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws.

Required Experience:

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