Patient Access Specialist

About the role

The Patient Access Specialist plays a crucial role in ensuring patient safety and compliance with regulations. They are responsible for conducting quality interviews, gathering necessary identification, confirming patient demographics, and performing various administrative tasks.

Responsibilities

• Greet patients and visitors promptly and courteously.
• Implement scheduling, pre-registration, pre-certification, referral procurement, and insurance verification policies.
• Ensure accurate patient identification and demographic information.
• Conduct intensive screenings for Medicare, Medicaid, and managed care patients to verify network status and coordination of benefits.
• Obtain all applicable patient consents and attestations.
• Perform functions such as facility-based scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point-of-service cash collection, and financial clearance.
• Adhere to regulatory forms and ensure patient safety.
• Communicate with patients, parents, and caregivers in a way that is developmentally and culturally appropriate.
• Resolve patient inquiries and escalate issues as necessary.
• Process patient registrations and financial clearances.
• Coordinate daily activities and foster a positive patient experience.
• Access and navigate payer websites to confirm coverage and benefits.
• Work with patients to understand and clear their financial responsibilities.
• Provide administrative information and sign regulatory forms.
• Scan documents and communicate with patients and physicians' offices regarding scheduling and records.
• Assist with pre-admission testing and patient records management.
• Work flexible hours, including weekends and holidays.

Requirements

• High school diploma or equivalent.
• Ability to work rotating schedules and three out of six holidays.
• Good written and verbal communication skills.
• Basic medical terminology knowledge.
• Proficient computer skills, including Microsoft Office and Google Suite platforms.
• Experience in a hospital setting, preferably in patient financial services.
• Knowledge of insurance specifications, ICD10 and CPT4 codes.
• Bilingual (Spanish or Korean) is preferred.
• Experience with EPIC HB, Cadence, and Prelude is preferred.

Qualifications

• Education: High school diploma or equivalent.
• Experience: 1+ years of experience in a hospital setting, preferably in patient financial services.
• Skills: Strong analytical, written, and verbal communication skills; proficient in medical terminology and insurance specifications.
• Other: Ability to work flexible hours, including weekends and holidays.

Benefits

Competitive benefits are offered, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits. The starting rate of pay is $27.13 per hour, but actual compensation may vary based on internal equity, labor market data, and other factors.

Pay

The starting rate of pay is $27.13 per hour. Actual compensation may vary based on internal equity, labor market data, and other factors.

Schedule

Rotating schedules and three out of six holidays are required.