Patient Access Specialist

Knowledge of insurance terms, reimbursement procedures, rates and policies related to medical terminology.

Knowledge of Explanation of Benefits (EOB), CPT, HCPC and Diagnosis Codes.

Serves as a role model in carrying out activities and behaviors that reflect the values and principles of the Boys Town mission.

Provides excellent customer service to any individuals presenting for clinic care, surgery, admissions or in need of direction by being able to assist any who present to their Access location with their admitting, registration/check-in, collections or other needs as identified.

Responsible for obtaining and communicating accurate benefit information and eligibility, pre-determination/pre-authorization as well as detailed benefit and patient liabilities per insurance company requirements and established time frames, i.e.

Communicates with Medical Unit Manager or Director to determine bed assignment and resource availability at time of admission if not performed in advance of patient presentation.

Communicates arrival of surgical patients following registration or admission providing transport assistance as needed to pertinent care unit.

Monitors patient care waiting areas, being situationally aware of setting to ensure a clean, safe and comfortable environment for anyone presenting to BTNRH.

Processes incoming calls both internal and externally to aid in services which may include but are not limited to: scheduling, pre-registration, processing nurse call information, pharmacy refills and referral requests, physician and/or staff paging needs, financial counseling queries, admission/discharge notifications as well as vetting special requests and questions as needed.

Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.

Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities.  A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location.  Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs.   Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider.  We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life.

This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.