Patient Access Specialist - Full-time Day shift

About the role

This position serves as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. Responsibilities include facilitating patient tracking and billing by obtaining and verifying accurate and complete demographic information, financially securing and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. The role ensures compliance with EMTALA, DNV, HIPAA and all other applicable hospital and government regulations in admissions settings and medical record handling. Excellent customer service is required at all times.

Responsibilities

• 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
• Maintain a clean working environment for the facility, including 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

Requirements

• High School Diploma or GED
• 1 year of patient registration and insurance verification experience in a health care setting
• Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors
• Basic understanding of medical terminology
• Fluency in English; written and oral communication

Qualifications

• 2 years of patient registration and insurance verification experience in a health care setting, preferred
• Emergency Department registration experience, strongly preferred

Skills

• Excellent customer service
• Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred