Patient Access Specialist | FT Days

Emerus•Rockwall, TX

About The Position

The Patient Access Specialist serves as a liaison among 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 and insurance information, financially securing accounts, and collecting guarantors’ out-of-pocket responsibility to maximize hospital reimbursement. The position is at a small-format hospital and is scheduled for full-time day shifts from 7 a.m. to 7 p.m. The specialist provides customer service and helps protect patient safety by ensuring patients are properly identified and triaged on arrival. The role also supports admissions and revenue-cycle processes, maintains and scans medical records, coordinates transfers, and handles other front-desk and facility needs. The position must comply with EMTALA, DNV, HIPAA, and applicable hospital and government regulations.

Requirements

High school diploma or GED.
Knowledge of various insurance plans and payers, including HMO, PPO, POS, Medicare, and Medicaid.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English and written and oral communication skills in English.
Fluency in both English and Spanish is required in the El Paso market.
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

Comply with EMTALA, DNV, HIPAA, and other 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.
Help protect patient safety by ensuring each arriving patient is properly identified and triaged.
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.
Verify insurance benefits, confirm the correct payer and plan, and enter them into the patient accounting system.
Obtain insurance authorizations as 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 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 or vendors.
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, 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.