Patient Access Specialist

Emerus•Moore, OK

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 position facilitates patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting guarantor out-of-pocket responsibility to support hospital reimbursement. The role also contributes to patient safety by ensuring patients are properly identified and triaged upon arrival.

Requirements

High school diploma or GED.
Knowledge of various insurance plans and payers, including HMO, PPO, POS, Medicare, and Medicaid.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English and written and oral communication skills.
In the El Paso Market, fluency in both English and Spanish is required.
Pennsylvania candidates must have completed Act 33 Child Abuse History Clearance and Act 73 FBI Fingerprint Criminal History Clearance within the last five years, or obtain them 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 MS Office, including Word, Excel, and Outlook, is strongly preferred.

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical records.
Provide excellent customer service by meeting customer needs, understanding who the customers are, and building quality relationships.
Help protect patient safety by ensuring each patient is properly identified and triaged upon arrival.
Answer telephone calls professionally and courteously, 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 to facilitate revenue-cycle processing.
Verify insurance benefits for all plans associated with patients and confirm 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 carriers, and forward them to appropriate departments as needed.
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.