Patient Access Specialist - PRN Day shift

Emerus•San Antonio, TX

About The Position

The Patient Access Specialist serves as a liaison among patients and their families, payers, Patient Financial Services, and other members of the health care team. The role supports patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting guarantors’ out-of-pocket responsibility to maximize hospital reimbursement. The position works in a small-format hospital in Zarzamora on the PRN day shift. The specialist supports patient safety and service by identifying and triaging patients on arrival, maintaining compliance with applicable regulations, assisting with admissions and transfers, and managing registration, insurance verification, collections, and medical records.

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, including written and oral communication.
Fluency in both English and Spanish is required in the El Paso Market.
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.
Emergency Department registration experience.
Working knowledge of MS Office, including Word, Excel, and Outlook.

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other hospital and government regulations applicable to admissions and medical records.
Provide excellent customer service by meeting customer needs, understanding who the customers are, and building quality relationships.
Help protect patient safety by ensuring patients are properly identified and triaged upon arrival.
Answer telephone calls professionally and courteously, record messages, and communicate them to appropriate medical staff.
Provide required forms and consents and obtain signatures.
Obtain, verify, and enter complete and accurate demographic information on accounts.
Verify insurance benefits for all plans associated with patients and confirm the correct payer and plan are entered into the patient accounting system.
Obtain insurance authorizations as required by individual 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 a log of patients, payments received, transfers, and hospital admissions.
Maintain the visitor/vendor log.
Maintain a clean facility 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 the appropriate departments.
Notify the appropriate contact of 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.