About The Position

The Admissions Specialist - Patient Access Services - ER - Full-Time Weekend Nights role involves accurately gathering complete financial and demographic information to ensure the medical records/billing process flows efficiently. This position is responsible for obtaining and/or updating verification of benefits and/or pre-certification for applicable tests and/or procedures. The specialist will prepare, present, and thoroughly explain applicable legal, ethical, and compliance documents, ensuring proper consents are signed. A key responsibility is maximizing reimbursement by appropriately identifying insurance carriers and benefits, and preventing denials by ensuring timely notification of admission to insurance carriers. The role also involves assisting patients in understanding their financial obligations and collecting co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable. The Admissions Specialist must stay abreast of and comply with applicable regulations, entity and/or system policies and procedures, and maintain customer service and/or productivity guidelines.

Requirements

  • H.S. Diploma or Equivalent required
  • 1 Year Customer Service Experience required
  • Requires good written, oral, and telephone communication skills.
  • Requires knowledge of general office equipment, PC’s and associated software packages.

Nice To Haves

  • CHAA - Certified Healthcare Access Associate Upon Hire preferred
  • Ability to type 35 WPM corrected for errors preferred.
  • General knowledge of medical terminology preferred.

Responsibilities

  • Accurately gathers complete financial and demographic information to ensure medical records/billing process flows efficiently.
  • Obtains and/or updates verification of benefits and/or pre-certification for applicable tests and/or procedures.
  • Prepares, presents, and thoroughly explains applicable legal, ethical, and compliance documents; ensures proper consents are signed by the appropriate parties.
  • Maintains documentation of the same.
  • Maximizes reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc.
  • Prevents denials by ensuring timely notification of admission to insurance carriers.
  • Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable.
  • Stays abreast of and complies with applicable regulations, entity and/or system policies and procedures.
  • Maintains customer service and/or productivity guidelines set forth by applicable leadership.

Benefits

  • Gain a sense of accomplishment by contributing in a teamwork environment.
  • Receive excellent mentorship, comprehensive training and dedicated leadership resources.
  • Enjoy opportunities for growth.
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