Patient Access Specialist

Northwestern Memorial Healthcare•Winfield, IL
•$18 - $28

About The Position

The Patient Access Specialist supports Northwestern Medicine’s patient-first mission by providing customer service and helping patients navigate scheduling, registration, insurance verification, and related financial-account processes. The role follows NMHC’s policies, procedures, Code of Ethics, Corporate Compliance Program, and applicable regulatory and accreditation standards. The position works 3:30 p.m. to 12:00 a.m., with a stated schedule of 40 hours per week (1.0 FTE).

Requirements

  • High school diploma or equivalent.
  • 2–3 years of customer service or medical office experience.
  • Excellent interpersonal, verbal, and written communication skills; ability to read, write, and communicate effectively in English.
  • Proficiency in computer data entry and typing, including the ability to type 40 words per minute.
  • Basic computer skills and ability to use computer applications efficiently.
  • Ability to multitask.
  • Customer-service orientation.
  • Excellent organizational, time-management, analytical, and problem-solving skills.

Nice To Haves

  • Additional education.
  • Additional language skills.
  • Healthcare finance and/or healthcare insurance experience.
  • Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.

Responsibilities

  • Provide courteous, exceptional customer service and foster a positive, team-oriented atmosphere for patients and coworkers.
  • Respond to questions and concerns, resolve service breakdowns, and escalate extraordinary issues or concerns to management or the appropriate team lead.
  • Protect patient confidentiality in accordance with HIPAA and avoid putting patients at financial or safety risk.
  • Collect, identify, and verify patient demographic and registration information according to organizational standards; maintain accurate patient data and participate in quality assurance reviews.
  • Coordinate patient scheduling and direction through NMHC systems, including contacting patients to schedule appointments and communicating information about referrals, consultations, and insurance referrals.
  • Perform medical necessity checks, explain options when an appointment does not meet requirements, communicate financial-account issues, and provide out-of-pocket estimates when requested.
  • Collect authorization numbers and complete accurate handoff instructions and notes for scheduling staff in Epic.
  • Use online order-retrieval systems to verify or print patient orders and online tools or telephone calls to verify insurance eligibility and benefit levels; run real-time eligibility checks and follow applicable out-of-network policies.
  • Check appointment details, including test type, preparation requirements, conflicts, time, location, order documentation, and duplicate patient records, to help prevent issues with patient visits.
  • Monitor registration and scheduling, including insurance verification, to meet quality standards; understand and work toward departmental quality metrics.
  • Analyze account activity, identify problems, and initiate appropriate resolutions; suggest and participate in process improvements and quality-improvement activities.
  • Communicate constructively across units and departments, support internal customers, accommodate differing communication abilities, and help coworkers.
  • Provide training and education as needed and serve as a workflow resource for new staff and coworkers.
  • Manage work efficiently, complete assignments on time, use resources effectively, and adapt to changing business needs and healthcare policies.
  • Attend relevant interdepartmental meetings, which may involve walking within the NM Campus, and complete other duties as assigned.

Benefits

  • Tuition reimbursement
  • Loan forgiveness
  • 401(k) matching
  • A range of benefits intended to support physical, emotional, and financial well-being and provide protection for unexpected life events
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