Patient Access Specialist (PRN NIGHTS)

Emerus•Menomonee Falls, WI

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 maximize hospital reimbursement. The role supports patient safety and revenue-cycle operations through accurate patient identification and registration, insurance verification and authorization, collections, medical-record handling, and coordination of patient transfers. It also provides customer service to patients, visitors, and callers and helps maintain the facility and its logs and records.

Requirements

High school diploma or GED required.
Knowledge of insurance plans, including HMO, PPO, POS, Medicare, and Medicaid, and of payers is required.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English, including written and oral communication.
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 healthcare setting preferred.
Emergency Department registration experience strongly preferred.
Working knowledge of MS Office, including Word, Excel, and Outlook, strongly preferred.

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical-record handling.
Provide excellent customer service by meeting customer needs and building quality relationships.
Help protect 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 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 in coordinating patient transfers to other hospitals when necessary.
Respond to medical-record requests from patients, physicians, and hospitals.
Maintain the cash drawer according to policy.
Maintain logs of patients, payments, transfers, and hospital admissions.
Maintain the visitor/vendor log.
Maintain a clean facility work environment, 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 required staff meetings and other company-sponsored or mandated meetings.
Assist medical staff as needed.
Perform additional duties as assigned.