About The Position

The Admissions Specialist - Patient Access Services - ER position is responsible for accurately gathering complete financial and demographic information to ensure the medical records/billing process flows efficiently. This role involves obtaining and/or updating verification of benefits and/or pre-certification for applicable tests and/or procedures. The specialist will prepare, present, and explain legal, ethical, and compliance documents, ensuring proper consents are signed. They will also maximize reimbursement by identifying insurance carriers and benefits, prevent denials by ensuring timely notification of admission to insurance carriers, and assist patients in understanding their financial obligations by collecting co-payments, deposits, and balances. The Admissions Specialist must stay abreast of and comply with applicable regulations, entity, and/or system policies and procedures, while maintaining 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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