Patient Access Specialist III

Job Summary

Get back to what you need and love to do. The possibilities are endless...

About the Role

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation.

Responsibilities

• Manage escalated insurance and financial clearance issues, including denied claims and complex benefit coordination.
• Provide advanced financial counseling to patients and families, including cost estimates, payment plan arrangements, and financial assistance guidance.
• Ensure accuracy and completeness of patient demographic, clinical, and financial data in Epic and related systems.
• Serve as a lead resource for Patient Access Specialist I and II staff, providing mentorship, training, and guidance on complex cases.
• Act as a liaison between patient access, clinical departments, and external payers to resolve barriers to care and optimize patient flow.
• Provide cross-coverage for multiple service areas and serve as a subject matter expert for high-volume or specialized units.
• Transcribe orders as needed.

Requirements

• Required: Associate’s degree; Bachelor’s degree preferred.
• Preferred: 3 years experience in admitting and/or ambulatory setting or patient registration in an outpatient setting.
• Healthcare/Medical: Admissions as well as Patient Access experience in a hospital and/or ambulatory care setting or Patient Registration in an Outpatient setting.

Skills

• Required: Excellent verbal and written communication skills; strong customer service orientation; strong computer skills, with proficiency in office automated tools: e-mail, outlook and data entry; effective communicator with all levels of staff, patients and customers; ability to respond positively to fluctuations in patient flow; heavy phones, able to triage phone calls and respond professionally to fluctuations in call volume; knowledge of front-end role in revenue cycle: insurance benefits collection, verification, authorization, pre-certification, etc.
• Preferred: Self-directed, motivated, resourceful, demonstrates initiative; working knowledge of MS Office Suite applications: Word, Excel, Outlook.

Qualifications

• Education: Associate’s degree required; Bachelor’s degree preferred.
• Experience: 3 years experience in admitting and/or ambulatory setting or patient registration in an outpatient setting.
• Healthcare/Medical: Admissions as well as Patient Access experience in a hospital and/or ambulatory care setting or Patient Registration in an Outpatient setting.

Benefits

The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation.

Pay

The base pay scale for this position is $35.70 - $39.72.

Schedule

Compensation Range: The base pay scale for this position is $35.70 - $39.72.

Physical Working Conditions

Sitting in the same location or standing/walking; required to stop, climb or lift light material (10 to 20 lbs.) or equipment.

Hazards

OSHA Category 2 Tasks that involve no exposure to blood, body fluids, tissues, and other potentially infectious materials; but employment may require performing unplanned Category 1 tasks.