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    Patient Access Specialist

    2 Students Enrolled
    2 Students Enrolled

    Additional information

    Hours: 25
    Duration: 3 months

    Language: English

    Data sheet

    Certification included

    To request more information, you can contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

    Online courses are accessible 24/7/365 and self-paced, allowing you to progress at your own pace on your own schedule. They can be taken from anywhere in the world from the comfort of your own home. Classroom courses have a set schedule of the days and times the courses will be held, and you must attend during those specific times.

    Find out if online learning is right for you by contacting our team of registration advisers. Our team is available to answer any of your questions about taking an online course before you commit to enrolling. We will walk you through what to expect to ensure you are making the right decision. You can contact a registration adviser today via online chat, our website contact form, or toll free at 1-855-201-6910.

    No, you are not required to have a diploma or higher education degree to enroll in an online course. However, some occupations may require minimum educational thresholds for employment or certification. For more information on your desired career requirements, please contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

    To take an online course, you will need to have access to an internet connection and an internet ready device such as a laptop, PC, or tablet. For course specific requirements, please visit the course page or contact a registration adviser today.

    Our courses are developed with multiple formats including text, audio, video, and interactivity. Our courses also include multiple resources and tools which can include flashcards, games, activities, and more.

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    We participate in several financial assistance options including third party funding, both military and non-military. To request more information on the financial assistance options available and check your eligibility, contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

    Duration is the amount of time you will receive access to your course. Durations vary by course and range between 1 month and 12 months. If you complete your course before your duration ends you will continue to have access to your course until the duration period ends.

    Many of our career training programs include certification vouchers. This means that at the successful completion of your course, at no additional charge, you will receive an exam voucher for the corresponding industry certification. This voucher will allow you to register and sit for the appropriate certification exam to obtain your industry credential.

    Our online courses are open enrollment, so you can start immediately. If you are using any third-party funding to cover your course tuition, your start date may be a future date determined by your funding program.

    Once enrolled, you will be assigned a client adviser who will provide you with customer and technical support. Your client adviser will supply you with your course access information, any needed materials, and be available to answer any questions you have during your training experience. They will regularly check-in with you to monitor your progress and assist you with staying on track. You will also be assigned to a course mentor who will provide curriculum support throughout your training. Your mentor is available to answer any questions you have on your course curriculum, will monitor your progress and understanding of the curriculum, and may give assignments or quizzes.

    If you experience any trouble accessing your course including technical issues or lost login credentials, please contact your client adviser at helpdesk@worldeducation.net.

    We strive to provide a fully online experience for students however some of our training courses include physical materials or equipment. Courses that have materials shipped directly to students will be shipped within 7 business days of registration. Some training courses have material for different sections and these courses may require multiple shipments as you completed stages of your course.

    Our goal for students is to successfully complete their training course and achieve their career goals. We understand that extenuating circumstances can interfere with your ability to complete your course in the duration given. Because of this we have free or low-cost extensions available for our courses upon request. To discuss or request an extension please contact your client adviser at helpdesk@worldeducation.net.

    Upon successful completion of your course and fulfillment of any outstanding financial obligations, you will receive your certificate of completion. Certificates are provided to you within 30 days of completion. Your certificate will validate the training course you completed with a stamp of completion.

    Students that successfully complete our career training programs are assigned a career development adviser who will coordinate placement at a local externship or hands on opportunity. These opportunities are optional and may vary based on availability and occupation. Your career development adviser will also provide job search services such as: resume building, mock interviews, job opportunity resources, and more. Our professional enrichment courses do not come with a career adviser or career services.

    Program Description

    The Patient Access Specialist course is one of five courses comprising the Patient Access Specialist certification program. Patient Access Specialists represent the front line of the healthcare service for patients entering a practice, hospital or clinic with a constant eye toward excellent customer services and the overarching goal of achieving a positive experience for the patient. The Patient Access Specialist plays a key role for any provider and works as a strong team player in a dynamic, fast-paced, patient-centered practice. To be successful in this field, Patient Access Specialists must possess strong communication skills, an understanding of medical terminology and anatomy as well as a comprehensive understanding of the importance of the revenue cycle and medical insurance options available to patients. A clear understanding and successful transmission of information from the patient and medical insurance companies is paramount in guaranteeing prompt administration of medical treatment to the patient and quick financial reimbursement to the medical facility. Throughout the course, students will be introduced to the many roles and responsibilities encompassed by the Patient Access Services department in a hospital setting. Students will learn to perform functions essential to the Patient Access Specialist roles including admissions, registration, financial/insurance coverage counseling, pre-certification, patient relations, and scheduling as well as common techniques and methods for success across varying practices. Students will also learn about the delivery of the critical components of the revenue cycle and compliance issues with regulatory agencies. In addition, the course will provide students with an understanding of the role of correct patient identification practices in maintaining patient safety and the need for extraordinary customer service skills in difficult situations. Finally, students will gain the skills and knowledge required to sit for the Certified Healthcare Access Associate certification exam.

    Learning Objectives

    Explain the revenue cycle and the functions of a Patient Access Specialist Identify government and regulatory agency requirements applicable to the Patient Access Specialist position Describe how the measurement of performance, safety, and accuracy relates to the future development of an organization Explain the NAHAM (National Association of Healthcare Access Management) model and how it applies to the CHAA exam


    Lesson 1: Patient Access Fundamentals • Describe the key steps of the revenue cycle • Explain the impact the patient access specialist has on the revenue cycle • Explain the importance of correct patient identification to the revenue cycle • Identify key roles of the patient access specialist in the hospital setting • Describe the different levels of hospital care • Explain census management • Explain the ADT system • Explain various types of insurance plans • Locate correct identifiers on insurance cards • Describe insurance priorities • Describe the documents used by the patient access specialist that help keep the hospital compliant with regulatory agencies • Describe the four types of consent forms used by a hospital • Describe point of service collections • Describe methods to assist patients with medical expenses • Calculate a patient's liability Lesson 2: Customer Service from a Hospital Perspective • Describe customer expectations of a patient access specialist and hospital • Explain why meeting customer expectations is crucial to the organization • Identify internal and external customers of the patient access department • Explain how the patient access department can meet the expectations of both internal and external customers • Define technical competency • Explain how technical competence affects customer satisfaction • Describe communication techniques used by a patient access specialist • Explain why it is important for a patient access specialist to be familiar with age-specific criteria • Describe the risks of communication barriers in the organization and how to overcome them • Define the HEAT technique • Explain what service recovery is and when it may be necessary Lesson 3: Regulatory Agencies and Government Requirements • Describe situations that breach HIPAA standards • Explain what constitutes protected health information • Explain the Minimum Necessary Rule • Describe The Joint Commission's goals • List the seven levels of an effective compliance program • Summarize why EMTALA was created • Describe the effects of EMTALA on the emergency department and labor and delivery • Explain OSHA's standard precautions • List examples of personal protective equipment • Describe patient rights • Describe advance directives • Explain the functions of the Centers for Medicare and Medicaid Services • Describe the purpose of the Medicare Secondary Payer Questionnaire • Articulate when Medicare is not the primary insurance payer Lesson 4: Future Development • Define KPIs • Explain FOCUS-PDCA and Six Sigma • Summarize the importance of collecting and analyzing data within an organization for future development • Summarize the importance of soliciting customer satisfaction through surveys • Explain the importance of patient loyalty • Explain the need for data accuracy and staff education in the Patient Access department • Describe the necessary competencies for the patient access specialist • Define benchmarking • Explain the importance of benchmarking • Describe benchmarking techniques Lesson 5: NAHAM • Describe NAHAM • List NAHAM's organizational goals • List the two certifications available through NAHAM • Describe the benefits of obtaining a NAHAM certification • Describe the NAHAM model • Determine which Patient Access function is in each phase of the NAHAM model • Describe the Certified Healthcare Access Associate (CHAA) exam format • Identify different study techniques that can assist you in preparing for the certification test



    There are no specific prerequisites for this course

    Technical Requirements



    • 100% Online, Self-Paced • Open Enrollment • Admissions and Student Support • Multimedia Rich and Interactive Content

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