Patient Access Specialist - PART-TIME
About The Position
The Patient Access Specialist performs admitting duties for patients receiving hospital services, in accordance with organizational goals, policies, processes, and regulatory requirements. The role supports patient access operations across the organization and is responsible for accurate account setup, patient communication, insurance and eligibility processing, medical necessity screening, and point-of-service collections. The position is onsite at Tower - St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and is part-time. The specialist provides compassionate customer service to patients, guarantors, legal guardians, colleagues, and callers. Responsibilities include pre-registering patients, gathering demographic and insurance information, explaining relevant forms and patient education materials, obtaining signatures, and helping patients understand financial liabilities and payment options. The role also supports quality audits and reporting to help ensure accurate accounts and complete documentation.
Requirements
- High school diploma or GED.
- At least 1 year of customer service experience.
- Be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
- Obtain the CRCR certification within 9 months of hire; the certification is company-paid.
- Must be able to work onsite at Tower - St. Christopher's Hospital for Children in Philadelphia, Pennsylvania.
- Must reside and be authorized to work in the United States.
Responsibilities
- Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while providing excellent customer service.
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable.
- Follow policies and provide compassionate, high-quality customer service during patient and caller interactions.
- Meet assigned point-of-service goals.
- Use quality auditing and reporting systems to identify and correct account issues; audit accounts, confirm forms are complete and accurate within required timeframes, and provide statistical data to Patient Access leadership.
- Pre-register patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
- Explain patient financial liabilities, collect point-of-service payments and past-due balances, and discuss payment plan options.
- Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
- Explain and distribute patient education documents and applicable forms, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, consent forms, and forms introduced for future services.
- Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes.
- Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.
Benefits
- Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
- Company-paid CRCR certification.
- Tuition reimbursement.
- Career advancement and professional development opportunities.
- Quarterly and annual incentive programs.
- Bonus incentives.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
