Patient Access Specialist

Emerus•Aubrey, TX

About The Position

The Patient Access Specialist serves as a liaison between 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, complete demographic information, financially securing accounts, and collecting guarantors’ out-of-pocket responsibility to maximize hospital reimbursement. The position also helps protect patient safety by ensuring patients are properly identified and triaged upon arrival.

Requirements

High school diploma or GED.
Knowledge of insurance plans such as HMO, PPO, POS, Medicare, and Medicaid, and of payors.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English and the ability to communicate in writing and orally.
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 health care 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 relating to admissions and medical records.
Provide excellent customer service by meeting customer needs 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 all accounts.
Verify insurance benefits, confirming the correct payor and plan in the patient accounting system.
Obtain insurance authorizations as 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, transfers, hospital admissions, and visitors/vendors.
Maintain a clean working 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.
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 and perform additional duties as assigned.