Patient Access Specialist (PRN NIGHTS)

Emerus•Milwaukee, WI

About The Position

The Patient Access Specialist serves as a liaison among patients and families, payers, Patient Financial Services, and other health care team members. The role supports patient tracking and billing by gathering and verifying complete demographic information, securing payment, and collecting guarantors’ out-of-pocket responsibilities to maximize hospital reimbursement. The position also supports patient safety, customer service, accurate medical records, and efficient registration and revenue-cycle processes.

Requirements

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

Nice To Haves

Two years of patient registration and insurance verification experience in a health care setting is preferred.
Emergency Department registration experience is strongly preferred.
Working knowledge of MS Office, including Word, Excel, and Outlook, is strongly preferred.

Responsibilities

Comply with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations related to admissions and medical records.
Provide excellent customer service by meeting customer needs and building quality relationships.
Help protect patient safety by ensuring patients are properly identified and triaged upon arrival.
Answer telephone calls professionally, record messages, and communicate them to appropriate medical staff.
Provide and obtain signatures on required forms and consents.
Obtain, verify, and enter complete and accurate demographic information on patient accounts.
Verify insurance benefits and ensure the correct payer and plan are entered in the patient accounting system.
Obtain insurance authorizations when required by insurance 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, hospital admissions, and visitors/vendors.
Maintain a clean working environment, 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 the appropriate departments.
Notify the appropriate contact about malfunctioning equipment or maintenance needs.
Attend required staff and other company-sponsored or mandated meetings.
Assist medical staff as needed and perform additional duties as assigned.