Patient Access & Billing Coordinator

Wellspan-Hospitals-in-Carlisle,-Newberry-; Carlisle (Cumberland County); On-site; USD 36,000 - 52,000; Full time

Job summary

Emerus is seeking a Patient Access Specialist to serve as a liaison between patients, payers, and the healthcare team. You will facilitate patient intake, verify demographics, and secure out-of-pocket payments to maximize hospital reimbursement.

The role requires HIPAA compliance, attention to detail, and strong customer service. You will handle insurance verification, obtain authorizations, manage registrations, and support hospital patient access processes in a fast-paced setting.

Qualifications

• High School Diploma or GED, required.
• 2 years of patient registration and insurance verification experience in a health care setting, preferred
• Emergency Department registration 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.
• Fluency in both English & Spanish is a requirement in the El Paso Market

Responsibilities

• 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
• The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
• 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

Skills

Customer service

MS Office

English fluency

Bilingual English/Spanish

Medical terminology

Education

High School Diploma or GED

Tools

MS Word

MS Excel

MS Outlook

Job description

Emerus is seeking a Patient Access Specialist to serve as a liaison between patients, payers, and the healthcare team. You will facilitate patient intake, verify demographics, and secure out-of-pocket payments to maximize hospital reimbursement.

The role requires HIPAA compliance, attention to detail, and strong customer service. You will handle insurance verification, obtain authorizations, manage registrations, and support hospital patient access processes in a fast-paced setting.