Patient Access Specialist

Emerus•Aubrey, TX

About The Position

The Patient Access Specialist serves as a liaison among patients and families, payers, Patient Financial Services, and other healthcare team members. The role facilitates patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting guarantors’ out-of-pocket responsibility to maximize hospital reimbursement. The position also supports patient safety and regulatory compliance while providing customer service in a small-format hospital setting.

Requirements

High school diploma or GED.
Knowledge of insurance plans, including HMO, PPO, POS, Medicare, and Medicaid, and their payers.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English, with written and oral communication ability.
In the El Paso Market, fluency in both English and Spanish is required.
Pennsylvania candidates must have completed Act 33 Child Abuse History Clearance and Act 73 FBI Fingerprint Criminal History Clearance within the last five years, or obtain them before the start date.

Nice To Haves

Two years of patient registration and insurance verification experience in a healthcare setting.
Emergency Department registration experience.
Strong working knowledge of MS Office, including Word, Excel, and Outlook.

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations concerning admissions and medical records.
Provide excellent customer service, understand customer needs, and build quality relationships.
Help protect patient safety by ensuring patients are properly identified and triaged upon arrival.
Answer telephone calls professionally and courteously, record messages, and communicate them to appropriate medical staff.
Provide required forms and consents and obtain signatures.
Obtain, verify, and enter complete and accurate demographic information for patient accounts.
Verify insurance benefits, payers, and plans and enter the correct information into the patient accounting system.
Obtain insurance authorizations when required by individual plans.
Pursue collections at the time of service in a customer-service-oriented manner.
Scan registration and clinical documentation into the system and maintain medical records.
Assist with coordinating patient transfers to other hospitals when necessary.
Respond to medical record requests from patients, physicians, and hospitals.
Maintain the cash drawer according to policy.
Maintain logs of patients, payments, transfers, and hospital admissions.
Maintain the visitor and vendor log.
Keep facility areas clean, including the front desk, restroom, waiting room, break area, and patient rooms when medical staff need assistance.
Receive deliveries, including mail, and forward them to appropriate departments.
Notify the appropriate contact about malfunctioning equipment or maintenance needs.
Attend required staff meetings and other company-sponsored or mandated meetings.
Assist medical staff as needed and perform additional duties as assigned.