Patient Access Specialist - FT Swing shift

Emerus•San Antonio, TX

20d

About The Position

The Patient Access Specialist serves as a liaison among patients and families, payers, Patient Financial Services, and other health care team members. The role facilitates patient tracking and billing by obtaining and verifying complete demographic information, financially securing accounts, and collecting guarantors’ out-of-pocket responsibilities to maximize hospital reimbursement. The position maintains compliance with applicable hospital and government requirements, supports patient registration and revenue-cycle processes, handles medical records, and provides customer service to patients, visitors, and callers. It also assists with patient transfers and medical staff needs, maintains logs and the cash drawer, and helps keep facility areas clean and orderly.

Requirements

High school diploma or GED.
At least 1 year of patient registration and insurance verification experience in a health care 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, including written and oral communication.

Nice To Haves

Two years of patient registration and insurance verification experience 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 hospital and government regulations applicable to admissions and medical-record handling.
Provide excellent customer service by meeting customer needs, understanding who the customers are, and building quality relationships.
Answer telephone calls professionally and courteously, 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 ensure the correct payer and plan are entered into the patient accounting system.
Obtain insurance authorizations as required by applicable 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 in coordinating transfers of patients 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 working 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 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.