Patient Access Account Specialist I
About The Position
The Patient Access Account Specialist I supports financial clearance of patient accounts for government and commercial payers before service. The role includes insurance verification, authorization processing, benefit review, patient demographic documentation, and pre-service collections. The Specialist follows up on authorizations for scheduled, urgent, and emergent procedures and admissions through the date of service or discharge. The position requires working knowledge of Medicare (CMS) guidelines and applicable Patient Access requirements, including HIPAA, EMTALA, and MSPQ compliance standards. This is a full-time, non-exempt position based at the Reverend Hugh Cooper Administrative Center. The role follows a hybrid schedule, Monday through Friday, 9:00 AM to 5:30 PM, on the day shift. The stated compensation range is $16.38 to $25.57.
Requirements
- High school diploma; continued education preferred.
- External and internal non-Patient Access candidates must pass Patient Academy with a score of 85% or higher.
- Previous completion and passing of the Patient Access Advocate II and III Advancement test.
- At least 2 years of work experience in a healthcare setting within Patient Access and/or billing, plus a strong customer service background.
- Strong knowledge and understanding of insurance and financial processing of accounts.
- Proficiency in the EPIC ADT system.
Nice To Haves
- Continued education.
- CHAA, CHAM, or another industry-equivalent specialty certification.
Responsibilities
- Verify insurance eligibility, benefits, and payer requirements to financially clear accounts before service.
- Obtain, track, and follow up on authorizations for scheduled, urgent, and emergent procedures and admissions.
- Complete patient registration and accurately collect and document demographic, insurance, financial, and clinical information.
- Educate patients about insurance coverage and financial responsibility, and collect applicable patient balances.
- Maintain compliance with Medicare (CMS), HIPAA, EMTALA, MSPQ, and payer guidelines, ensuring accurate documentation and account resolution.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Short-term disability insurance
- Long-term disability insurance
- Group term life insurance
- Optional voluntary benefits
- Employee Wellness rewards program, with opportunities to earn gift cards through wellness activities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
