Patient Access Specialist (PRN NIGHTS)

Emerus•Milwaukee, WI

About The Position

The Patient Access Specialist serves as a liaison between patients and families, payers, Patient Financial Services, and other members of the health care team. The role supports patient tracking and billing by obtaining and verifying accurate demographic information, securing payment, and collecting guarantors’ out-of-pocket responsibility to help maximize hospital reimbursement. The position maintains compliance with applicable hospital and government regulations and provides customer service while supporting patient identification and safety, registration, insurance verification and authorization, collections, medical-record handling, patient transfers, and related facility operations. This is a PRN night position.

Requirements

High school diploma or GED.
Knowledge of insurance plans, including HMO, PPO, POS, Medicare, and Medicaid, and their payers.
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.
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 health care setting.
Emergency Department registration experience.
Working knowledge of MS 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, meet customer needs, and build 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, payers, and plans and enter the correct information into the patient accounting system.
Obtain insurance authorizations when required by 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 the visitor and vendor log.
Keep facility areas 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 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.