Patient Access Specialist - PRN Night shift

Emerus•San Antonio, TX

6d•Onsite

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 position facilitates patient tracking and billing by obtaining and verifying accurate demographic information, financially securing accounts, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. This PRN position is based in Thousand Oaks at a 16-bed small-format hospital with 8 emergency room beds and 8 inpatient beds, and works the 7 p.m. to 7 a.m. night shift. The role requires compliance with applicable hospital and government regulations, including EMTALA, DNV, and HIPAA. The specialist supports registration, insurance verification and authorization, collections, medical-record maintenance, patient transfers, and customer service. Other duties include maintaining facility areas and logs, receiving deliveries, reporting equipment or maintenance issues, attending required meetings, and assisting medical staff as needed.

Requirements

High school diploma or GED.
At least 1 year of patient registration and insurance verification experience in a healthcare setting.
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.

Nice To Haves

2 years of patient registration and insurance verification experience in a healthcare setting preferred.
Emergency Department registration experience strongly preferred.
Working knowledge of MS Office, including Word, Excel, and Outlook, strongly preferred.

Responsibilities

Maintain compliance with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical records.
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 all accounts to facilitate 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 individual insurance plans, where applicable.
Pursue collections at the time of service in a customer-service-oriented manner to maximize efficiency and accuracy.
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 received, 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 from carriers, and forward them to appropriate departments as needed.
Notify appropriate contacts of malfunctioning equipment or maintenance needs.
Attend staff meetings and other company-sponsored or mandated meetings as required.
Assist medical staff as needed and perform additional duties as assigned.