Patient Access Specialist | PRN Days/Nights | Grand Prairie

Baylor Scott & White Emergency Hospital•Grand Prairie, 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 supports patient tracking and billing by obtaining and verifying complete demographic information, financially securing accounts, and collecting patients’ out-of-pocket responsibility to maximize hospital reimbursement. The position is PRN at a 16-bed small-format hospital with eight emergency department beds and eight inpatient beds, with day and night shifts listed as 7 a.m.–7 p.m. and 7 p.m.–7 a.m. The specialist supports patient safety and the revenue cycle while providing customer service, maintaining records and logs, and coordinating with hospital staff and outside facilities. The role requires compliance with applicable hospital and government regulations, including EMTALA, DNV, and HIPAA.

Requirements

High school diploma or GED.
Knowledge of insurance plans, including HMO, PPO, POS, Medicare, and Medicaid, and associated payers.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English, including written and oral communication.
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 completed within the last five years, or obtained before the start date.

Nice To Haves

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

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other regulations applicable to admissions and medical-record handling.
Provide excellent customer service by meeting customer needs and building quality relationships.
Help protect patient safety by ensuring patients are properly identified and triaged on 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 accounts.
Verify insurance benefits, confirm the correct payer and plan, and enter them into the patient accounting system.
Obtain insurance authorizations as 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 policies.
Maintain logs of patients, payments, transfers, hospital admissions, and visitors/vendors.
Maintain a clean facility 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 appropriate departments.
Notify the appropriate contact about malfunctioning equipment or maintenance needs.
Attend required staff and company-sponsored or mandated meetings.
Assist medical staff as needed.
Perform additional duties as assigned.