Patient Access Specialist | PRN Nights

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 network includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare, and WellSpan. Our innovative, fully accredited hospitals provide highly individualized care and foster a work environment focused on teamwork, diversity, equity, and equal opportunity.

About the role

The Patient Access Specialist serves as a liaison between patients/families, payers, Patient Financial Services, and other healthcare team members. This role facilitates patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting out-of-pocket responsibility to maximize hospital reimbursement.

Responsibilities

• Maintain compliance with EMTALA, DNV, HIPAA, and all other hospital and government regulations applicable to admissions and medical records.
• Provide excellent customer service by understanding and meeting customer needs and building quality relationships.
• Ensure patient safety by properly identifying and triaging patients upon arrival.
• Answer telephones professionally, record messages, and communicate with appropriate medical staff.
• Obtain and verify signatures on required forms and consents.
• Collect, verify, and enter complete and accurate demographic information for all accounts to facilitate revenue cycle processing.
• Verify insurance benefits for all plans, confirming correct payor and plan details in the patient accounting system.
• Obtain insurance authorizations as required by individual insurance plans.
• Maximize collection efficiency by pursuing collections at the time of service in a customer service-oriented manner.
• Scan registration and clinical documentation into the system and maintain medical records.
• Coordinate patient transfers to other hospitals when necessary.
• Respond to medical record requests from patients, physicians, and hospitals.
• Maintain cash drawer, patient logs, payments received, transfers, and admissions according to policies.
• Maintain visitor/vendor logs.
• Maintain a clean working environment, including front desk, restrooms, waiting areas, and patient rooms.
• Receive and forward deliveries, including mail, to appropriate departments.
• Report malfunctioning equipment or maintenance needs to the appropriate contact.
• Attend staff meetings and other company-sponsored or mandated meetings.
• Assist medical staff as needed and perform additional duties as assigned.

Requirements

• High School Diploma or GED (required).
• 2 years of patient registration and insurance verification experience in a healthcare setting (preferred).
• Emergency Department registration experience (strongly preferred).
• Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors (required).
• Basic understanding of medical terminology.
• Excellent customer service skills.
• Working knowledge of MS Office (Word, Excel, Outlook) (strongly preferred).
• Fluency in English (written and oral communication) (required).
• Fluency in both English and Spanish is required for the El Paso market.

For Pennsylvania candidates: Act 33 (Child Abuse History Clearance) and Act 73 (FBI Fingerprint Criminal History Clearance) must be completed within the last 5 years or obtained prior to the start date.

Schedule

Nights (7p-7a), PRN (as needed).