Patient Access Specialist - PRN Day shift

Emerus•San Antonio, TX

11d

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 help maximize hospital reimbursement. The position is PRN on the day shift (7 a.m.–7 p.m.) at a 16-bed small-format hospital in Thousand Oaks.

Requirements

High school diploma or GED.
At least 1 year of patient registration and insurance verification experience in a healthcare setting.
Knowledge of insurance plans such as HMO, PPO, POS, Medicare, and Medicaid, and of payers.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English, with written and oral communication skills.

Nice To Haves

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

Responsibilities

Comply with EMTALA, DNV, HIPAA, and other hospital and government regulations applicable to admissions and medical records.
Provide excellent customer service, understand customer needs, and build quality relationships.
Answer telephone calls professionally and courteously, record messages, and communicate them to appropriate medical staff.
Provide required forms and consents and obtain signatures.
Obtain, verify, and enter complete and accurate demographic information for accounts.
Verify insurance benefits and ensure the correct payer and plan are entered into the patient accounting system.
Obtain insurance authorizations when 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, and hospital admissions.
Maintain the visitor/vendor log.
Maintain a clean work environment, including the front desk, restroom, waiting room, break area, and patient rooms when medical staff assistance is needed.
Receive deliveries, including mail, and forward them to appropriate departments.
Notify appropriate contacts of malfunctioning equipment or maintenance needs.
Attend required staff meetings and other company-sponsored or mandated meetings.
Assist medical staff as needed.
Perform additional duties as assigned.