Patient Access Scheduling Specialist

White-Wilson Medical Center,P.A.•Fort Walton Beach, FL

1d•Onsite

About The Position

The Patient Access Specialist is responsible for scheduling and registering new patients, collecting, and verifying insurance eligibility, patient demographic, financial and other information; and ensuring accurate data entry within the EMR system. This role provides exceptional customer service while coordinating appointments and maintaining compliance with organizational policies, payer requirements, and HIPAA regulations.

Requirements

High School Diploma/GED required.
Strong understanding of Microsoft Office product suite.
Excellent customer service and communication skills, both written and verbal.
Self-starter with strong team player and leadership abilities.
Strong analytical and problem-solving skills.
Ability to prioritize and meet pre-determined deadlines.
Must be able to effectively multi-task, and have advanced technical skills, as appropriate.
Regular and reliable attendance is required.

Nice To Haves

Bachelors preferred.
1-2 years of prior physician office, clinic or hospital registration or billing experience preferred.
Knowledge of insurance coverage and referral, authorization policies preferred.
Knowledge of current EMR system preferred.

Responsibilities

Schedule patient appointments across providers' locations using established scheduling protocols, provider preferences, and clinical guidelines.
Ensure accurate appointment placement by aligning patient needs, urgency with the appropriate provider, visit type, and timeframe.
Maintain and optimize provider scheduling templates, including managing cancellations, rescheduling, and schedule changes to maximize access and utilization.
Complete pre-registration by accurately entering and verifying patient demographics, insurance details, and guarantor information. Verify patient identification; copy and store insurance cards and identification cards into the EMR system.
Verify insurance eligibility and benefits prior to scheduling and/or appointments to ensure coverage accuracy and identify patient financial responsibility.
Coordinate prior authorizations and referral requirements as part of the scheduling workflow, ensuring services are approved before the date of service.
Monitor and manage scheduling work tasks to ensure timely processing and completion of all appointment-related activities.
Collaborate with clinical teams, providers, and internal departments to resolve scheduling discrepancies, and ensure appropriate appointment readiness.
Adhere to payer requirements, organizational policies, and regulatory standards, including HIPAA and patient privacy guidelines.
Maintain productivity and quality benchmarks, including scheduling accuracy, turnaround times, and work queue performance.
Participate in continuous improvement initiatives, audits, and training to enhance scheduling efficiency and patient access outcomes.
Provide cross-coverage within the scheduling team, supporting high-volume areas, and adapting to fluctuating workload demands.
Transfer calls to the appropriate departments when needed to ensure patients receive the right support.
Deliver excellent customer service in every interaction, maintaining a helpful and patient-focused approach.
Maintain a positive attitude and demonstrate a strong personal commitment to quality and excellence.
Attend required department and clinic meetings.
Regular and reliable attendance is required.