Patient Access Specialist

Emerus•Aubrey, TX

About The Position

The Patient Access Specialist serves as a liaison between patients and their families, payers, Patient Financial Services, and other members of the healthcare team. The role facilitates patient tracking and billing by obtaining and verifying accurate demographic information, securing payment, and collecting guarantors’ out-of-pocket responsibility to maximize hospital reimbursement. The position also supports patient safety, customer service, accurate recordkeeping, and compliance with applicable hospital and government regulations.

Requirements

High school diploma or GED.
Knowledge of insurance plans and payors, 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 English.
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.
Emergency Department registration experience.
Working knowledge of MS Office, including Word, Excel, and Outlook.

Responsibilities

Comply with EMTALA, DNV, HIPAA, and other regulations applicable to admissions and medical records.
Provide excellent customer service by meeting customer needs and building quality relationships.
Help protect patient safety by ensuring each patient is 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 into patient accounts.
Verify insurance benefits, confirming the correct payor and plan in 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 or vendors.
Maintain a clean working environment, including the front desk, restroom, waiting room, break area, and patient rooms when assistance is needed.
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 meetings.
Assist medical staff as needed and perform additional duties as assigned.