Patient Access Specialist/Hospital Front Office

Baylor Scott & White Emergency Hospital•Aledo, TX

7d•Onsite

About The Position

The Patient Access Specialist serves as a liaison between the patient/family, payers, Patient Financial Services, and other healthcare team members. This role is crucial for facilitating patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. Emerus is a leader in small-format hospitals, partnering with health systems to provide care in the communities where patients live. The company is committed to fostering a diverse and inclusive work environment that celebrates equity and ensures equal access to information, development, and opportunity for all Healthcare Pros.

Requirements

High School Diploma or GED, required.
2 years of patient registration and insurance verification experience in a health care setting, preferred.
Emergency Department registration experience, strongly preferred.
Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
Basic understanding of medical terminology.
Excellent customer service skills.
Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.
Fluency in English; written and oral communication required.
Fluency in both English & Spanish is a requirement in the El Paso Market.
Pennsylvania Candidates: Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.

Nice To Haves

2 years of patient registration and insurance verification experience in a health care setting.
Emergency Department registration experience.
Working knowledge of MS Office (MS Word, Excel and Outlook).

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and all other hospital and government regulations applicable to Admissions settings and Medical Records.
Provide excellent customer service by effectively meeting customer needs, understanding who the customers are, and building quality relationships.
Ensure each patient is properly identified and triaged upon arrival to protect patient safety.
Answer telephone professionally and courteously, record messages, and communicate to appropriate medical staff.
Provide and obtain signatures on required forms and consents.
Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
Verify insurance benefits for all patient-associated plans, confirming the correct payor and plan are entered into the patient accounting system.
Obtain insurance authorizations as required by individual insurance plans.
Pursue collections at the time of service in a customer service-oriented fashion to maximize the efficiency and accuracy of the collection process.
Scan all registration and clinical documentation into the system and maintain all medical records.
Assist with coordinating the transfer of patients to other hospitals when necessary.
Respond to medical record requests from patients, physicians, and hospitals.
Maintain cash drawer according to policies.
Maintain log of all patients, payments received, transfers, and hospital admissions.
Maintain visitor/vendor log.
Maintain a clean working environment for the facility, including the front desk, restroom, waiting room, break area, and patient rooms when assistance is needed.
Receive deliveries, including mail from various carriers, and forward to appropriate departments.
Notify appropriate contact of any malfunctioning equipment or maintenance needs.
Attend staff meetings or other company-sponsored or mandated meetings as required.
Assist medical staff as needed.
Perform additional duties as assigned.