Patient Access Specialist

Emerus•Keller, TX

12d

About The Position

The Patient Access Specialist serves as a liaison between patients and families, payers, Patient Financial Services, and other healthcare team members. The role supports patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting guarantor out-of-pocket responsibility to maximize hospital reimbursement. The position is in a 16-bed small-format hospital with an emergency department and inpatient beds, and is listed as full-time, night shift (7 p.m.–7 a.m.). Emerus partners with health systems to provide neighborhood-based care through accredited small-format hospitals. The organization describes a commitment to compassionate, comprehensive care and to a team-oriented work environment that celebrates diversity, promotes equity, and supports equal access to information, development, and opportunity.

Requirements

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

Nice To Haves

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

Responsibilities

Comply with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical-record handling.
Provide excellent customer service, meet customer needs, and build quality relationships.
Support patient safety by ensuring patients are properly identified and triaged upon 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 patient accounts.
Verify insurance benefits, confirming the correct payor and plan in the patient accounting system.
Obtain insurance authorizations when required by individual insurance 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, and hospital admissions.
Maintain a visitor and vendor log.
Keep the facility clean, 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 the appropriate departments.
Notify the appropriate contact about malfunctioning equipment or maintenance needs.
Attend staff meetings and other company-sponsored or mandated meetings as required.
Assist medical staff as needed.
Perform additional duties as assigned.