Patient Access & Billing Specialist

Rhode Island Hospital; Rhode Island; On-site; USD 42,000 - 62,000; Full time

Job summary

Rhode Island Hospital is seeking a Patient Account professional to interview and pre-register patients, gather demographic and financial information, and ensure accurate billing data for admissions and ambulatory services.

The role involves verifying insurance, obtaining necessary authorizations, and guiding patients through the admissions process while explaining HIPAA privacy notices, patient rights, and available hospital resources.

Qualifications

• Interviews patients or patient representative to obtain complete personal and financial information.
• Validates health insurance and acquires authorizations using multiple systems.
• Communicates with patients and families to complete pre-admission demographic and financial data.
• Reviews Medicare and payer information and ensures proper referrals and authorizations are obtained.

Responsibilities

• Interview patients or their representatives to collect accurate personal and financial information.
• Utilize systems to validate insurance and obtain authorizations for admissions and outpatient services.
• Contact patients/families to complete pre-admission information including co-pays and balances.
• Explain hospital policies, HIPAA notices, and patient rights; obtain required signatures.

Skills

Interviewing patients

Data collection

Insurance verification

Authorization obtainment

Patient communication

HIPAA privacy

Tools

Passport eligibility system

Job description

Rhode Island Hospital is seeking a Patient Account professional to interview and pre-register patients, gather demographic and financial information, and ensure accurate billing data for admissions and ambulatory services.

The role involves verifying insurance, obtaining necessary authorizations, and guiding patients through the admissions process while explaining HIPAA privacy notices, patient rights, and available hospital resources.