Patient Access Specialist | PRN Days

Emerus•Las Vegas, NV

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 guarantors’ out-of-pocket responsibility to maximize hospital reimbursement. The position maintains compliance with applicable hospital and government regulations, supports patient safety through proper identification and triage, provides customer service, and helps ensure accurate registration, insurance verification, authorizations, collections, and medical-record handling. Additional duties include coordinating patient transfers, maintaining logs and the cash drawer, supporting facility upkeep, receiving deliveries, reporting equipment or maintenance concerns, and assisting medical staff as needed.

Requirements

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

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, understanding who the customers are, 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 for all plans associated with patients and enter the correct payor and plan 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 improve collection 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 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 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.