Patient Access Specialist
Emerus Holdings, Inc. · Moore, OK · 1 mo ago
HealthcareFull-time
We need to output HTML fragment with headings for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, etc. Also remove duplicated lines. Must not include Pay/Schedule/Benefits unless posting actually states them. Let's examine posting.
Content:
- About Us HIGHLIGHTS SHIFT : DAYS (7a-7p) JOB TYPE : PRN FACILITY TYPE : 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient) PERKS: Night/Weekend shift differentials, paid referrals! We are Emerus, the leader in small-format hospitals... (mission, partners, etc.)
- Position Overview: description.
- Essential Job Functions: list of duties.
- Other Job Functions: list.
- Basic Qualifications: list.
- Also mention Pennsylvania Candidates: Act 33 & Act 73 clearance.
- Also mention fluency in English; written and oral communication; Fluency in both English & Spanish is a requirement in the El Paso Market.
- Also mention Basic understanding of medical terminology, Working knowledge of MS Office, etc.
- Also mention "Position requires fluency in English; written and oral communication Fluency in both English & Spanish is a requirement in the El Paso Market"
- Also mention "Basic Qualifications High School Diploma or GED, required 2 years of patient registration and insurance verification experience in a health care setting, preferred Emergency Department registration experience, strongly preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required."
- Also mention "Basic understanding of medical terminology Excellent customer service Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred."
- Also mention "Position requires fluency in English; written and oral communication Fluency in both English & Spanish is a requirement in the El Paso Market"
- Also mention "Pennsylvania Candidates : Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date."
- Also mention "PERKS: Night/Weekend shift differentials, paid referrals!" That's benefits.
- Also mention "SHIFT : DAYS (7a-7p) JOB TYPE : PRN" That's schedule and job type.
- Also mention "FACILITY TYPE : 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient)" maybe not needed.
- Also mention "We are Emerus..." That's about us.
We need to decide sections.
We have:
- About the role: could be Position Overview.
- Responsibilities: Essential Job Functions + Other Job Functions.
- Requirements: Basic Qualifications (including education, experience, knowledge, etc.) plus maybe Pennsylvania clearances.
- Qualifications: maybe separate? But we can combine Requirements and Qualifications? The instruction says use headings for those categories if content exists. We could have "Requirements" for mandatory items, "Qualifications" for preferred items, "Skills" for specific skills, "Benefits" for perks, "Pay" if any (none), "Schedule" if any (shift info). We must not create sections with filler.
Let's extract specifics:
About the role (Position Overview): "The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement."
That's substantive.
Responsibilities: Essential Job Functions list:
- Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
- Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
- The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
- Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
- Provide and obtain signatures on required forms and consents
- Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
- Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
- Obtain insurance authorizations as required by individual insurance plans where applicable
- Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
- Scan all registration and clinical documentation into the system and maintain all medical records
- Assist with coordinating the transfer of patients to other hospitals when necessary
- Respond to medical record requests from patients, physicians and hospitals
- Maintain cash drawer according to policies
- Maintain log of all patients, payments received, transfers and hospital admissions
- Maintain visitor/vendor log
Other Job Functions:
- Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
- Receive deliveries including mail from various carriers and forward to appropriate departments as needed
- Notify appropriate contact of any malfunctioning equipment or maintenance needs
- Attend staff meetings or other company sponsored or mandated meetings as required
- Assist medical staff as needed
- Perform additional duties as assigned
We can combine both lists under Responsibilities.
Requirements: Basic Qualifications mandatory items:
- High School Diploma or GED, required
- 2 years of patient registration and insurance verification experience in a health care setting, preferred (but it's "preferred", not required). Actually it says "required" for HS diploma, "preferred" for 2 years experience, "strongly preferred" for ED registration experience. Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
- Basic understanding of medical terminology (maybe required? It says "Knowledge of various insurance plans... and payors, required. Basic understanding of medical terminology" Not explicitly required but likely required. We'll treat as required.
- Excellent customer service (maybe required)
- Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.
- Position requires fluency in English; written and oral communication
- Fluency in both English & Spanish is a requirement in the El Paso Market
- Pennsylvania Candidates: Act 33 & Act 73 clearance completed within last 5 years, or must be obtained prior to start date.
We could separate mandatory vs preferred but we just need to preserve all substantive info. We'll put them under Requirements (maybe with subheadings? Not allowed; only headings
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, etc. Also remove duplicated lines. Must not include Pay/Schedule/Benefits unless posting actually states them. Let's examine posting.
Content:
- About Us HIGHLIGHTS SHIFT : DAYS (7a-7p) JOB TYPE : PRN FACILITY TYPE : 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient) PERKS: Night/Weekend shift differentials, paid referrals! We are Emerus, the leader in small-format hospitals... (mission, partners, etc.)
- Position Overview: description.
- Essential Job Functions: list of duties.
- Other Job Functions: list.
- Basic Qualifications: list.
- Also mention Pennsylvania Candidates: Act 33 & Act 73 clearance.
- Also mention fluency in English; written and oral communication; Fluency in both English & Spanish is a requirement in the El Paso Market.
- Also mention Basic understanding of medical terminology, Working knowledge of MS Office, etc.
- Also mention "Position requires fluency in English; written and oral communication Fluency in both English & Spanish is a requirement in the El Paso Market"
- Also mention "Basic Qualifications High School Diploma or GED, required 2 years of patient registration and insurance verification experience in a health care setting, preferred Emergency Department registration experience, strongly preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required."
- Also mention "Basic understanding of medical terminology Excellent customer service Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred."
- Also mention "Position requires fluency in English; written and oral communication Fluency in both English & Spanish is a requirement in the El Paso Market"
- Also mention "Pennsylvania Candidates : Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date."
- Also mention "PERKS: Night/Weekend shift differentials, paid referrals!" That's benefits.
- Also mention "SHIFT : DAYS (7a-7p) JOB TYPE : PRN" That's schedule and job type.
- Also mention "FACILITY TYPE : 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient)" maybe not needed.
- Also mention "We are Emerus..." That's about us.
We need to decide sections.
We have:
- About the role: could be Position Overview.
- Responsibilities: Essential Job Functions + Other Job Functions.
- Requirements: Basic Qualifications (including education, experience, knowledge, etc.) plus maybe Pennsylvania clearances.
- Qualifications: maybe separate? But we can combine Requirements and Qualifications? The instruction says use headings for those categories if content exists. We could have "Requirements" for mandatory items, "Qualifications" for preferred items, "Skills" for specific skills, "Benefits" for perks, "Pay" if any (none), "Schedule" if any (shift info). We must not create sections with filler.
Let's extract specifics:
About the role (Position Overview): "The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement."
That's substantive.
Responsibilities: Essential Job Functions list:
- Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
- Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
- The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
- Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
- Provide and obtain signatures on required forms and consents
- Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
- Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
- Obtain insurance authorizations as required by individual insurance plans where applicable
- Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
- Scan all registration and clinical documentation into the system and maintain all medical records
- Assist with coordinating the transfer of patients to other hospitals when necessary
- Respond to medical record requests from patients, physicians and hospitals
- Maintain cash drawer according to policies
- Maintain log of all patients, payments received, transfers and hospital admissions
- Maintain visitor/vendor log
Other Job Functions:
- Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
- Receive deliveries including mail from various carriers and forward to appropriate departments as needed
- Notify appropriate contact of any malfunctioning equipment or maintenance needs
- Attend staff meetings or other company sponsored or mandated meetings as required
- Assist medical staff as needed
- Perform additional duties as assigned
We can combine both lists under Responsibilities.
Requirements: Basic Qualifications mandatory items:
- High School Diploma or GED, required
- 2 years of patient registration and insurance verification experience in a health care setting, preferred (but it's "preferred", not required). Actually it says "required" for HS diploma, "preferred" for 2 years experience, "strongly preferred" for ED registration experience. Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
- Basic understanding of medical terminology (maybe required? It says "Knowledge of various insurance plans... and payors, required. Basic understanding of medical terminology" Not explicitly required but likely required. We'll treat as required.
- Excellent customer service (maybe required)
- Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.
- Position requires fluency in English; written and oral communication
- Fluency in both English & Spanish is a requirement in the El Paso Market
- Pennsylvania Candidates: Act 33 & Act 73 clearance completed within last 5 years, or must be obtained prior to start date.
We could separate mandatory vs preferred but we just need to preserve all substantive info. We'll put them under Requirements (maybe with subheadings? Not allowed; only headings . We'll just list items in .
Qualifications: maybe we could separate preferred qualifications: Emergency Department registration experience strongly preferred, Working knowledge of MS Office strongly preferred, etc. But we could also put them under Requirements as they are still qualifications. The instruction says we can have sections for Requirements, Qualifications, Skills. We need to decide what to put where to avoid thin sections. Let's think: We have a lot of content; we could have:
- About the role (Position Overview)
- Responsibilities (Essential + Other Job Functions)
- Requirements (Mandatory: HS diploma, insurance knowledge, medical terminology, customer service, English fluency, Spanish fluency for El Paso, PA clearances)
- Qualifications (Preferred: 2 years patient registration experience, ED registration experience, MS Office knowledge)
- Skills (maybe: Excellent customer service, communication, etc.) but we already have customer service under requirements. Could separate skills like "Knowledge of various insurance plans", "Medical terminology", "MS Office". But we might end up with many thin sections. Better to combine.
Given instruction: "Prefer a few substantive sections over many thin ones." So we should aim for maybe 3-4 sections.
We have substantive content for:
- About the role (Position Overview)
- Responsibilities (list of duties)
- Requirements/Qualifications (combined)
- Benefits (Perks: Night/Weekend shift differentials, paid referrals)
- Schedule (Shift: DAYS (7a-7p) JOB TYPE: PRN)
Pay: not mentioned, so omit.
Thus we can have sections: About the role, Responsibilities, Requirements, Benefits, Schedule.
Check if Benefits section content is real: "PERKS: Night/Weekend shift differentials, paid referrals!" That's a benefit.
Schedule: "SHIFT : DAYS (7a-7p) JOB TYPE : PRN". That's schedule.
Now we need to ensure we don't repeat job title. Not needed.
We must not include boilerplate like "About Us HIGHLIGHTS" etc. We'll extract relevant info.
We need to preserve all substantive information. Let's list all substantive info we need to include:
From About Us: mission statement, partners list, commitment to patient care, diversity, etc. That's substantive. Should we include? The instruction says preserve ALL substantive information; do not invent or summarize away detail. So we should include the About Us highlights as part of maybe "About the role" or a separate "About Us" section? But we only allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. There's no "About Us". However we could incorporate the About Us content into "About the role" section as it describes the organization and mission. The "About the role" heading is for role overview, but we could also include company description there. It's acceptable.
Thus About the role section will contain:
- Position Overview description.
- Also include company description: Emerus leader in small-format hospitals, partners list, mission, commitment to patient care, diversity, etc.
We must not omit any substantive info. Let's extract the About Us paragraph:
"We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Heal th, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros."
Also there is "About Us HIGHLIGHTS SHIFT : DAYS (7a-7p) JOB TYPE : PRN FACILITY TYPE : 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient) PERKS: Night/Weekend shift differentials, paid referrals!" The shift, job type, facility type, perks we already captured elsewhere.
We need to include facility type maybe not needed but it's substantive. Could include in About the role or maybe in Responsibilities? Probably better to include in About the role as context.
Thus About the role section will contain:
- Position Overview paragraph.
- Company description paragraph.
- Facility type: 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient).
- Shift: DAYS (7a-7p) JOB TYPE: PRN (maybe schedule section though). But we have schedule section separate; we can mention shift there.
We need to avoid duplication: If we put shift in About the role and also schedule section, that's duplication. Better to put shift details only in Schedule section. So About the role will not include shift/job type.
Thus About the role
- .
Qualifications: maybe we could separate preferred qualifications: Emergency Department registration experience strongly preferred, Working knowledge of MS Office strongly preferred, etc. But we could also put them under Requirements as they are still qualifications. The instruction says we can have sections for Requirements, Qualifications, Skills. We need to decide what to put where to avoid thin sections. Let's think: We have a lot of content; we could have:
- About the role (Position Overview)
- Responsibilities (Essential + Other Job Functions)
- Requirements (Mandatory: HS diploma, insurance knowledge, medical terminology, customer service, English fluency, Spanish fluency for El Paso, PA clearances)
- Qualifications (Preferred: 2 years patient registration experience, ED registration experience, MS Office knowledge)
- Skills (maybe: Excellent customer service, communication, etc.) but we already have customer service under requirements. Could separate skills like "Knowledge of various insurance plans", "Medical terminology", "MS Office". But we might end up with many thin sections. Better to combine.
Given instruction: "Prefer a few substantive sections over many thin ones." So we should aim for maybe 3-4 sections.
We have substantive content for:
- About the role (Position Overview)
- Responsibilities (list of duties)
- Requirements/Qualifications (combined)
- Benefits (Perks: Night/Weekend shift differentials, paid referrals)
- Schedule (Shift: DAYS (7a-7p) JOB TYPE: PRN)
Pay: not mentioned, so omit.
Thus we can have sections: About the role, Responsibilities, Requirements, Benefits, Schedule.
Check if Benefits section content is real: "PERKS: Night/Weekend shift differentials, paid referrals!" That's a benefit.
Schedule: "SHIFT : DAYS (7a-7p) JOB TYPE : PRN". That's schedule.
Now we need to ensure we don't repeat job title. Not needed.
We must not include boilerplate like "About Us HIGHLIGHTS" etc. We'll extract relevant info.
We need to preserve all substantive information. Let's list all substantive info we need to include:
From About Us: mission statement, partners list, commitment to patient care, diversity, etc. That's substantive. Should we include? The instruction says preserve ALL substantive information; do not invent or summarize away detail. So we should include the About Us highlights as part of maybe "About the role" or a separate "About Us" section? But we only allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. There's no "About Us". However we could incorporate the About Us content into "About the role" section as it describes the organization and mission. The "About the role" heading is for role overview, but we could also include company description there. It's acceptable.
Thus About the role section will contain:
- Position Overview description.
- Also include company description: Emerus leader in small-format hospitals, partners list, mission, commitment to patient care, diversity, etc.
We must not omit any substantive info. Let's extract the About Us paragraph:
"We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Heal th, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros."
Also there is "About Us HIGHLIGHTS SHIFT : DAYS (7a-7p) JOB TYPE : PRN FACILITY TYPE : 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient) PERKS: Night/Weekend shift differentials, paid referrals!" The shift, job type, facility type, perks we already captured elsewhere.
We need to include facility type maybe not needed but it's substantive. Could include in About the role or maybe in Responsibilities? Probably better to include in About the role as context.
Thus About the role section will contain:
- Position Overview paragraph.
- Company description paragraph.
- Facility type: 1 6 bed Small-Format Hospital (8 ER, 8 Inpatient).
- Shift: DAYS (7a-7p) JOB TYPE: PRN (maybe schedule section though). But we have schedule section separate; we can mention shift there.
We need to avoid duplication: If we put shift in About the role and also schedule section, that's duplication. Better to put shift details only in Schedule section. So About the role will not include shift/job type.
Thus About the role