Access Specialist I- Surgery Access

Durham, NC, US, 27710

·        Registerthe patient by entering, verifying and/or updating demographic and guarantor information including emergency contacts.

·        Gatherspecial needs informationand coordinate the provision of necessary supportservices, i.e., disabilitie s, language services, other special needs.

·        Translatea patient’s requestusing clinical terminology and specialty-specificguidelines that are recognize d by our information systems and approved by ourclinical leadership.</sp an>

·        Usesched uling questionnaires, scheduling guidelines and other scheduling-related resources to conduct an advanced appointment search.

·        Determinethe appropriat e provider, appointment template,and slot while respecting provider,ref erring provider, and patient preferences.

·        Coordinateand, where appropriate, schedule necessary tests and studies associated with aclinic visit.</spa n>

·        Understan dand respond appropriately to scheduling –related warning messagesto ens ure  provider template guidelines are adhered toandthe pati ent is scheduled with the right provider in the right time slot.

·        < span>Completethe appointment by resolving all registration and schedulin g warning messages,  confirming referring provider,the loca tion ofthe visit, directions and additional scheduling instructions assp ecified byspecialty.

 </p >

Revenue Cycle:

·         Collector verify insurance information.

·        Initiatean eligib ility check for new insurance entries.

·         Communicatesensitive, healthcare relat ed financial obligations of the patients when anon-contactedinsurance, s elf-pay or Out-of-County Medicaid, VeteransAdministration, or Worker’s C ompensation coverage is realized.

o   </s pan> Follow workflows to include creati ng areferral for a financial review, and trace the progressof the referr al untilthe patient requires an appointment to be scheduled.

·        </span >Notifypatient of financialresponsibilityforthe visit toinc lude the payment thatwill be required at the time of the visit.</ p>

Working from a worklist:

·        Analyzework lists an d prioritize by Emergent, Urgent, and Routine request.  </s pan>

·        Worklis ts include:

·        </span >Faxedreferral request from strategic partners, medical practices and programs.

·        </sp an>Referralrequest submitted by internal Duke Providers for new pa tient appointments.

·        </spa n>Patientsneeding an appointment rescheduled due to a chang e in the provider’s schedule.

·        </ span>Patientsneeding a future appointment when provi der schedules are not yet published.

·         Patientsneeding a sooner appointment.</s pan>

·        Useall available resources to contact the patient, including phone numbers,MyCh art account, and email while following compliance guidelines. </sp an>

·        P rovidedetailed information about the reason for the call.  Be prepared for questions, remain attentive,and resolve complex tasks. < /span>

·        Ifthe patient is ready to schedule, make the appointment and/or coordinate an yrelated tests or labs, following approved schedulingalgorithms. 

Quality and Performance Measures:

·        Achievecall quality standards job results, recognizing calls arerecorded andscored.

·        Meet quality and performance expectations.

·         Adhereto publisheddaily work schedules and percentage of availability scores. 

·        Achieveservice measures such as lower percentage of abandoned calls, callduration andcallslost.  

·        </ span> Support other servicesand functions withinthe D uke Health Access Services.

 </s pan>

Minimum Qualifications

Duke is an Equal Opportunity Employer committed to provi dingemployment opportunity without regard to an individual'sage, color, disability, gender, gender expression, gender identity, geneticinformati on, national origin, race, religion, sex (including pregnancyand pregnan cy related conditions), sexual orientation or militarystatus.

&nb sp;

Duke aspires to create a community built on collaboration,inno vation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the richdiversity of our perspectives, backgrounds, and experiences flourishes.To achieve this exchange, it is essential that all members of thecommunity feel se cure and welcome, that the contributions of allindividuals are respected , and that all voices are heard. All members ofour community have a resp onsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University andDuke University Healt h System may include essential job functions thatrequire specific physic al and/or mental abilities. Additionalinformation and provision for requ ests for reasonable accommodation willbe provided by each hiring departm ent.

Education

A high school diplom a or equivalent is required. College orcompletionof post-secondary edu cation is preferred.

Experience

A minimum of 2 years of customer service experience or 1 year ofrelevant healthcare and/or ca ll center experience.

Degrees, Licensures, Certifications

NA

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.