Patient Access Specialist - Full-time Night shift

Emerus•San Antonio, TX

21h

About The Position

The Patient Access Specialist serves as a liaison among patients and families, payers, Patient Financial Services, and other members of the health care team. 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 is based at a 10-bed Emergency Department in Converse and is a full-time night-shift role, with a listed shift of 7 p.m. to 7 a.m. The specialist supports registration and revenue-cycle processes while maintaining compliance with applicable hospital and government regulations, including EMTALA, DNV, and HIPAA. Responsibilities include providing customer service, handling calls and documentation, verifying insurance and authorizations, collecting payments, maintaining medical records and logs, and assisting with patient transfers and other facility needs.

Requirements

High school diploma or GED.
At least 1 year of patient registration and insurance verification experience in a health care setting.
Knowledge of various insurance plans and payers, including HMO, PPO, POS, Medicare, and Medicaid.
Basic understanding of medical terminology.
Excellent customer service.
Fluency in English, with written and oral communication skills.

Nice To Haves

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

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical-record handling.
Provide excellent customer service by meeting customer needs and building quality relationships.
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 all accounts.
Verify insurance benefits for all plans associated with a patient and ensure the correct payer and plan are entered into the patient accounting system.
Obtain insurance authorizations as required by individual insurance plans, where applicable.
Pursue collections at the time of service in a customer-service-oriented manner to maximize efficiency and accuracy.
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 policies.
Maintain logs of patients, payments received, transfers, and hospital admissions.
Maintain the visitor/vendor log.
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 from various carriers, and forward them to appropriate departments as needed.
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.
Perform additional duties as assigned.