Lead Patient Access Specialist

Emerus; Keller (TX); On-site; USD 36,000 - 52,000; Full time

Job summary

Emerus is seeking a Patient Access Specialist to act as a liaison between patients, families, payers, and hospital teams. You will gather and verify demographic information, secure payments, and maximize hospital reimbursement by collecting out-of-pocket responsibility at the point of service.

The role emphasizes comprehensive customer service, accurate data entry, and adherence to EMTALA, HIPAA, and regulatory requirements within a day shift/full-time setting at our 16-bed small-format hospital.

Qualifications

• High School Diploma or GED required.
• 3 years patient registration and insurance verification experience.
• Knowledge of EMTALA/HIPAA compliance and medical terminology preferred.
• Excellent customer service and communication skills; fluent English.
• Proficiency with MS Office (Word, Excel, Outlook).

Responsibilities

• Serve as liaison between patient/family, payers and hospital team.
• Obtain/verify demographic information and document accurately for revenue cycle.
• Verify insurance benefits and confirm correct payor and plan.
• Obtain insurance authorizations as applicable.
• Collect out-of-pocket payments to maximize reimbursement and maintain records.
• Maintain patient registrations, admissions and transfers QA.
• Assist with training and support for PAS duties as needed.

Skills

Customer service

Communication

English fluency

Data entry

Education

High School Diploma or GED

Tools

MS Office

Job description

About Us

HIGHLIGHTS:

SHIFT: Day Shift (7a-7p)

JOB TYPE: Full Time

FACILITY TYPE: 16 bed Small-Format Hospital (8 ER, 8 Inpatient)

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Position Overview

The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Essential Job Functions

• Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
• Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
• Answer telephone in a professional and courteous manner, record messages and communicate 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 smooth processing through the revenue cycle
• Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
• Obtain insurance authorizations as required by individual insurance plans where applicable
• Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
• Scan all registration and clinical documentation into the system and maintain all medical records
• Assist with coordinating the transfer of patients to other hospitals when necessary
• Respond to medical record requests from patients, physicians and hospitals
• Maintain cash drawer according to policies
• Maintain log of all patients, payments received, transfers and hospital admissions
• Maintain visitor/vendor log
• Distribute mail appropriately
• Assist with compiling, analyzing, and reporting data for Patient Access quality measures
• Ensure QA on patient registrations, admissions and transfers
• Ensure QA of site-specific medical records storage and upkeep
• Assist in ordering office supplies, dietary and employee snacks where applicable
• Assist with management of worklists/workqueues within the patient accounting system
• Serve as first line of contact for PAS when on duty
• Assist with training of new employees in all aspects of their assigned job
• Work alongside Patient Access team members to ensure processes and policies are being followed

Other Job Functions

• Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
• Receive deliveries including mail from various carriers and forward to appropriate departments as needed
• Notify appropriate contact of any malfunctioning equipment or maintenance needs
• Attend staff meetings or other company sponsored or mandated meetings as required
• Assist medical staff as needed
• Perform additional duties as assigned

Basic Qualifications

• High School Diploma or GED, required
• 3 years patient registration and insurance verification experience in a health care setting, required.
• Emergency Department experience strongly preferred.
• Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
• Basic understanding of medical terminology
• Excellent customer service
• Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.
• Position requires fluency in English; written and oral communication