Patient Access Specialist | FT Nights

Baylor Scott & White Emergency Hospital•Grand Prairie, TX

About The Position

The Patient Access Specialist serves as a liaison among patients and families, payers, Patient Financial Services, and other health care team members. The role supports patient tracking and billing by obtaining and verifying accurate demographic information, securing payment, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. The position also supports patient safety through proper identification and triage at arrival, maintains registration and clinical records, and provides customer service to patients, visitors, and callers.

Requirements

High school diploma or GED.
Knowledge of insurance plans, including HMO, PPO, POS, Medicare, and Medicaid, and their payers.
Basic understanding of medical terminology.
Excellent customer service skills.
Fluency in English, including written and oral communication.
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.
Strong working knowledge of MS Office, including Word, Excel, and Outlook.

Responsibilities

Comply with EMTALA, DNV, HIPAA, and other applicable hospital and government regulations for admissions and medical records.
Provide excellent customer service, meet customer needs, and build 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 required forms and consents and obtain signatures.
Obtain, verify, and enter complete and accurate demographic information on accounts.
Verify insurance benefits and enter the correct payer and plan into the patient accounting system.
Obtain insurance authorizations when 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, and hospital admissions.
Maintain the visitor/vendor log.
Maintain a clean work 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.
Perform additional duties as assigned.