Patient Access Specialist/Front Office (Full-Time/Night Shift)

About the Role

Serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. 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.

Requirements

• High School Diploma or GED
• 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
• Basic understanding of medical terminology
• Excellent customer service skills
• Working knowledge of MS Office (MS Word, Excel, and Outlook) (strongly preferred)
• Fluency in English (written and oral communication)
• Fluency in both English & Spanish (requirement in the El Paso Market)
• 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

Responsibilities

Essential Job Functions

• 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
• Ensure each patient is properly identified and triaged when they arrive to the hospital to protect patient safety
• 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, including 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