Patient Access Specialist | FT Days

Baylor Scott & White Emergency Hospital•Rockwall, TX

About The Position

The Patient Access Specialist serves as a liaison among patients and families, payers, Patient Financial Services, and other members of the health care team. The role facilitates patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting out-of-pocket responsibility from guarantors to help maximize hospital reimbursement. The position is based in a small-format hospital and works a full-time day shift from 7 a.m. to 7 p.m. Emerus operates small-format hospitals in partnership with health systems. Its mission is to provide the care patients need in the neighborhoods they live in, by teams they trust. The company emphasizes compassionate, comprehensive care, teamwork, diversity, equity, and equal access to information, development, and opportunity.

Requirements

High school diploma or GED.
Knowledge of insurance plans, including HMO, PPO, POS, Medicare, and Medicaid, and of payers.
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.
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 health care setting is preferred.
Emergency Department registration experience is strongly preferred.
Working knowledge of MS Office, including Word, Excel, and Outlook, is strongly preferred.

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical records.
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 accounts to support revenue-cycle processing.
Verify insurance benefits for all plans associated with patients and enter the correct payer and plan 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 received, transfers, and hospital admissions.
Maintain the visitor and vendor log.
Maintain a clean facility environment, including the front desk, restroom, waiting room, break area, and patient rooms when medical staff need assistance.
Receive deliveries, including mail from carriers, and forward them to appropriate departments.
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.