Patient Access & Billing Specialist

Ascension Wisconsin Hospital; Menomonee Falls (WI); On-site; USD 38,000 - 52,000; Full time

Job summary

Emerus is seeking a Patient Access Specialist to serve as a liaison between patients, payers and hospital teams. You will collect demographics, verify insurance, secure authorizations, and help maximize hospital reimbursement while upholding EMTALA and HIPAA standards.

Responsibilities include handling high-volume phone inquiries, obtaining signatures, entering accurate data, and coordinating patient transfers.

Qualifications

• High School Diploma or GED is required.
• 2 years of patient registration and insurance verification in a health care setting.
• Emergency Department registration experience is strongly preferred.
• Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors is required.
• Basic understanding of medical terminology.
• Excellent customer service.
• Working knowledge of MS Office (MS Word, Excel and Outlook).
• Fluency in English; written and oral communication.
• Fluency in both English & Spanish is a requirement in the El Paso Market.
• PA Act 33 and Act 73 clearances completed within the last 5 years, or must be obtained prior to start date.

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

Communication

Teamwork

Education

High School Diploma or GED

Tools

MS Office

Job description

Emerus is seeking a Patient Access Specialist to serve as a liaison between patients, payers and hospital teams. You will collect demographics, verify insurance, secure authorizations, and help maximize hospital reimbursement while upholding EMTALA and HIPAA standards.

Responsibilities include handling high-volume phone inquiries, obtaining signatures, entering accurate data, and coordinating patient transfers.