Patient Access Specialist (PRN NIGHTS)

Emerus•Menomonee Falls, WI

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 collecting and verifying demographic and insurance information, securing payment, and collecting patients’ out-of-pocket responsibility to support hospital reimbursement. The position also helps protect patient safety by ensuring patients are properly identified and triaged upon arrival, and provides courteous service to patients, visitors, and callers. The specialist maintains accurate registration and medical records, supports insurance verification and authorization, collects payments, and assists with patient transfers and requests for medical records. The role also includes maintaining logs and the cash drawer, keeping facility areas clean, receiving deliveries, reporting equipment or maintenance issues, attending required meetings, and assisting medical staff as needed. Emerus describes itself as a provider of small-format hospitals that partners with health systems to provide care in patients’ neighborhoods. The organization states that it is committed to compassionate and comprehensive care, teamwork, diversity, equity, and equal access to information, development, and opportunity.

Requirements

High school diploma or GED.
Knowledge of insurance plans and payors, including HMO, PPO, POS, Medicare, and Medicaid.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English, including written and oral communication.
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 is preferred.
Emergency Department registration experience is strongly preferred.
Working knowledge of MS Office, including Word, Excel, and Outlook, is strongly preferred.

Responsibilities

Comply with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations concerning 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 accurate demographic information on patient accounts.
Verify insurance benefits, payers, and plans in 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 documents 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 policy.
Maintain logs of patients, payments, transfers, hospital admissions, and visitors or 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 and other company-sponsored or mandated meetings.
Assist medical staff as needed and perform additional duties as assigned.